摘要
目的观察腹部超声与阴道超声对剖宫产术后子宫瘢痕妊娠的诊断价值。方法回顾性分析2016年5月—2018年10月商丘市第一人民医院收治的100例疑似剖宫产术后子宫瘢痕妊娠患者病例资料,所有患者均先后进行腹部超声与阴道超声检查,以手术病理检查结果为'金标准',比较检查结果及诊断效能。结果 100例疑似剖宫产术后子宫瘢痕妊娠患者中,经手术病理证实81例,非剖宫产术后子宫瘢痕妊娠19例,腹部超声检查确诊62例,阴道超声检查确诊77例。与腹部超声相比,阴道超声诊断敏感度、特异度及准确度均较高,差异有统计学意义(P<0.05)。结论在剖宫产术后子宫瘢痕妊娠诊断中,阴道超声检查可发挥更显著应用价值,有利于进一步提高临床诊断准确性。
Objective To observe the value of abdominal ultrasound and vaginal ultrasound in the diagnosis of cesarean scar pregnancy(CSP).Methods The medical data of 100 patients with suspected CSP who admitted in the hospital from May 2016 to October 2018 were retrospectively analyzed.All patients were given abdominal ultrasound and vaginal ultrasound examination.The operative pathological results were taken as the'gold standard'.The examination results and diagnostic efficiency were compared.Results Among 100 patients with suspected CSP,81 cases of CSP and 19 cases of uterine scar pregnancy after non-cesarean section were confirmed by operative pathology,62 cases of CSP were confirmed by abdominal ultrasound examination,and 77 cases of CSP were confirmed by vaginal ultrasound.The diagnostic sensitivity,specificity and accuracy of vaginal ultrasound were higher than those of abdominal ultrasound,and the difference was statistically significant(P<0.05).Conclusion Vaginal ultrasound in the diagnosis of CSP can play a more significant application value,which is conducive to further improve the accuracy of clinical diagnosis.
作者
孔莹
Kong Ying(Department of Ultrasound,Shangqiu the First People’s Hospital,Shangqiu,Henan 476100,China)
出处
《医药论坛杂志》
2019年第7期64-66,共3页
Journal of Medical Forum
关键词
剖宫产术后子宫瘢痕妊娠
腹部超声
阴道超声
诊断效能
Cesarean scar pregnancy
Abdominal ultrasound
Vaginal ultrasound
Diagnostic efficiency
