摘要
目的探究经阴道彩色多普勒超声在剖宫产切口瘢痕妊娠(CSP)诊断中的应用效果。方法方便选择2017年12月-2018年12月期间该院收治的102例CSP患者作为研究对象,随机分为研究组(51例)与对照组(51例),对照组选择行经腹彩色多普勒超声检查,研究组选择行经阴道彩色多普勒超声检查。术后,对比两组诊断准确率、误诊率和漏诊率及声像分型。结果研究组诊断准确率为94.12%,漏诊率为1.96%,误诊率为3.92%;对照组诊断准确率为72.55%,漏诊率为3.92%,误诊率为23.53%,可见研究组诊断准确率明显高于对照组(P<0.05)。声像分型结果显示,研究组25例孕囊部分突入型,7例孕囊完全突入型,混合团块型19例;对照组孕囊部分突入型26例,5例孕囊完全突入型,20例混合团块。结论经阴道彩色多普勒超声在CSP诊断中,较经腹部彩色多普勒超声而言,可提供相对较精确的病灶图像,更高准确率,临床价值高,可作为首选超声检查方案。
Objective To investigate the effect of transvaginal color Doppler ultrasound in the diagnosis of cesarean section incision scar pregnancy(CSP). Methods 102 patients with CSP admitted to the hospital from December 2017 to December2018 were convenient randomly divided into study group(51 cases) and control group(51 cases). The control group was selected for transabdominal color Doppler ultrasound, the study group selected transvaginal color Doppler ultrasonography.Postoperatively, the diagnostic accuracy, misdiagnosis rate and missed diagnosis rate and audio-visual classification were compared between the two groups. Results The diagnostic accuracy of the study group was 94.12%, the missed diagnosis rate was 1.96%, and the misdiagnosis rate was 3.92%. The diagnostic accuracy of the control group was 72.55%, the missed diagnosis rate was 3.92%, and the misdiagnosis rate was 23.53%. The diagnostic accuracy of the study group was obvious,higher than the control group(P<0.05). The results of sonographic classification showed that 25 cases of gestational sac partial intrusion type, 7 cases of gestational sac complete intrusion type, 19 cases of mixed mass type in the Stdy group, 26 cases of gestational sac part of the control group, and 5 cases of gestational sac completely intrusive type. 20 cases of mixed agglomerates. Conclusion Transvaginal color Doppler ultrasound can provide relatively accurate image of lesions in the diagnosis of CSP compared with abdominal color Doppler ultrasound. It has higher accuracy and higher clinical value and can be used as the preferred ultrasound examination.
作者
王旦旦
WANG Dan-dan(The Second Affiliated Hospital of Nanhua University,Hengyang,Hunan Province,421001 China)
出处
《中外医疗》
2019年第29期192-194,共3页
China & Foreign Medical Treatment
关键词
彩色多普勒超声
剖宫产
阴道
瘢痕妊娠
诊断
应用效果
Color Doppler ultrasound
Cesarean section
Vagina
Scar pregnancy
Diagnosis
Application effect
