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目的探讨经阴道超声检查对剖宫产术后子宫切口憩室的诊断价值。方法对剖宫产术后临床怀疑切口处憩室的50例患者行经阴道超声检查,检查过程中观察切口处有无憩室,测量憩室大小及其最薄肌层厚度,检查后1个月内均进行宫腔镜检查,以宫腔镜检查发现憩室作为诊断标准。结果宫腔镜发现憩室45例,经阴道超声检查发现憩室40例,与宫腔镜相比,经阴道超声检查诊断憩室的符合率为90.00%,灵敏度为88.89%,特异度为100.00%,漏诊率为11.11%。经阴道超声检查测量憩室大小为上下径(9.17±2.63)mm、左右径(11.76±5.67)mm、高度(5.62±2.13)mm,最薄肌层厚度(3.29±1.01)mm。结论经阴道超声检查能够较好的发现子宫切口处憩室并能够对憩室大小、肌层厚度进行准确测量,是一种诊断切口处憩室无创、便捷的检查方法。
Objective To investigate the value of transvaginal sonography in the diagnosis of uterine incision diverticulum after cesarean section. Methods Fifty patients with clinically suspected incision diverticulum undergoing cesarean section underwent transvaginal ultrasonography. During the examination, the presence or absence of diverticulum in the incision was observed. The diverticulum size and the thickness of the thinnest muscular wall were measured. Within 1 month after the examination, Hysteroscopy to hysteroscopy found diverticulum as a diagnostic criteria. Results Hysteroscopy found that 45 cases of diverticulum, transvaginal ultrasound found in 40 cases of diverticulum, compared with hysteroscopy, transvaginal ultrasound diagnosis of diverticulum was 90.00%, the sensitivity was 88.89%, specificity was 100.00%, missed diagnosis The rate was 11.11%. The size of the diverticulum measured by transvaginal sonography was 9.17 ± 2.63 mm in diameter, 11.76 ± 5.67 mm in left and right diameter, 5.62 ± 2.13 mm in height and 3.29 ± 1.01 mm in thickness. Conclusion Transvaginal ultrasonography can detect the diverticulum in the uterine incision well and measure the diverticulum size and muscular layer thickness accurately. It is a noninvasive and convenient method to check the diverticulum in the incision.