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目的:探究阴道彩超对在诊断子宫疤痕妊娠的临床价值。方法:30例经阴道彩超诊断子宫疤痕妊娠患者,观察患者超声结果以及疤痕妊娠图形特点并对比腹彩超对子宫疤痕妊娠的诊断率。结果:通过超声图像分析得出子宫疤痕妊娠可分为包块型和孕囊型两种,但无论哪种疤痕妊娠类型,阴道彩超诊断准确率均显著高于对照组,差异具有统计学意义(P<0.05);结论:通过阴道彩超诊断子宫疤痕妊娠,不仅能准确显示妊囊和子宫切口位置,而且阴道彩超具有直观、无创伤、可重复、辐射小以及诊断准确率较高等特点,因此该方法值得在临床上推广和使用。
Objective: To explore the clinical value of vaginal ultrasound in the diagnosis of uterine scar pregnancy. Methods: 30 cases of uterine scar pregnancy diagnosed by transvaginal color Doppler echocardiography were observed. The results of ultrasound and scar pregnancy were observed and compared with those of abdominal ultrasonography for the diagnosis of uterine scar pregnancy. Results: Uterine scar pregnancy by ultrasound image analysis can be divided into two types of mass and gestational sac type of pregnancy, but no matter what kind of scar pregnancy, the diagnostic accuracy of vaginal ultrasound were significantly higher than the control group, the difference was statistically significant ( P <0.05). CONCLUSIONS: The diagnosis of uterine scar pregnancy by vaginal ultrasound is not only accurate to show the location of pregnant and uterine incisions, but also has the characteristics of visualization, noninvasiveness, repeatability, small radiation and high diagnostic accuracy. Therefore, Methods worthy of clinical promotion and use.