经阴道彩色多普勒超声在诊断剖宫产子宫疤痕妊娠中的价值研究

　　摘   要：目的  观察在剖宫产子宫疤痕妊娠中应用经阴道彩色多普勒超声的诊断价值。方法  选取2015年2月～2017年6月在我院就诊治疗的剖宫产子宫疤痕妊娠患者120例，均经临床病理学确诊，所有患者全部行经阴道和腹部彩色多普勒超声检查，并记为观察组（阴道超声组）和对照组（腹部超声组），观察并对比两组的检查诊断结果和声像学分析结果。结果  观察组检查准确率为93.33%，高于对照组的81.67%，差异具有统计学意义（P<0.05）;观察组患者中切口处孕囊型26例，包块型21例，混合型9例，对照组患者中切口处孕囊型25例，包块型19例，混合型5例，两组间相比较，差异无统计学意义（P>0.05）。结论  在剖宮产子宫疤痕妊娠中应用经阴道彩色多普勒超声进行诊断，具有更高的准确性，对于临床确诊有更佳的意义，值得推广应用。
　　关键词：子宫疤痕妊娠;剖宫产;阴道彩色多普勒超声;诊断
　　中图分类号：R445.1                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2018.05.058
　　文章编号：1006-1959（2018）05-0160-02
　　The Value of Transvaginal Color Doppler Ultrasound in the Diagnosis of Cesarean Scar Pregnancy
　　LU Qiu-tong
　　（Department of Imaging，Yingkou Hospital for Obstetrics and Childhood，Yingkou 115000，Liaoning，China）
　　Abstract：Objective  To observe the diagnostic value of transvaginal color Doppler ultrasound in cesarean section uterine scar pregnancy.Methods  120 cases of cesarean section uterine scar pregnancy treated in our hospital from February 2015 to June 2017 were selected.All were confirmed by clinicopathology and all patients were examined by transvaginal and abdominal color Doppler ultrasound and recorded as observation group（vaginal ultrasound group）and control group（abdominal ultrasound group）.The results of diagnostic examination and sonographic analysis were observed and compared between the two groups.Results  The accuracy of examination in the observation group was 93.33%，which was higher than that in the control group 81.67%，the difference was statistically significant（P<0.05）.In the observation group，there were 26 cases of gestational sac type at incision，21 cases of mass type，9 cases of mixed type，in the control group，there were 25 cases of gestational sac type at incision，19 cases of mass type and 5 cases of mixed type.There was no significant difference between the two groups（P>0.05）.Conclusion  Transvaginal color Doppler ultrasound is more accurate in the diagnosis of uterine scar pregnancy during cesarean section.It has better significance for clinical diagnosis and is worth popularizing.
　　Key words：Uterine scar pregnancy;Cesarean section;Vaginal color Doppler ultrasound;Diagnosis
　　剖宫产子宫瘢痕妊娠是一种少见且危险性极大的异位妊娠，指在剖宫产后女性再次妊娠时，孕囊在子宫瘢痕处着床[1]。子宫内膜和子宫肌层会在剖宫产的瘢痕位置存在缺陷，随着胚胎的生长绒毛深入内部，侵蚀局部血管，若不及时正确处理，极有可能引发孕妇大出血，甚至出现子宫破裂，严重威胁患者的生命安全[2，3]。本次研究选取我院120例经过病理学确诊为剖宫产子宫疤痕妊娠的患者，分析阴道彩色多普勒超声对于该病的诊断价值和效果，现将结果整理报道如下。

相关热词搜索：多普勒 超声 妊娠 疤痕 阴道