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目的研究剖宫产术后子宫瘢痕妊娠(CSP)的彩色多普勒超声检查与诊断的作用。方法 60例初步诊断为剖宫产术后子宫瘢痕妊娠患者,分别经腹部、阴道行彩色多普勒超声检查,对比术后确诊结果,观察患者治疗前后血人绒毛膜促性腺激素(β-HCG)及阻力指数(RI)变化情况。结果 60例患者术后确诊瘢痕妊娠55例、占91.67%,经彩色多普勒超声检查诊断术后子宫瘢痕妊娠51例、占85.00%,漏诊4例、占6.67%。彩色多普勒超声检查与术后确诊结果对比,差异无统计学意义(P>0.05)。治疗1个月后,55例子宫瘢痕妊娠患者β-HCG及RI均优于治疗前,差异均具有统计学意义(P<0.05)。且均恢复至正常水平。治疗前血流丰富,治疗1个月后血流贫乏。结论剖宫产术后子宫瘢痕妊娠应用彩色多普勒超声检查具有较高的诊断准确性,对患者临床及早诊断和治疗具有重要价值,值得推广应用。
Objective To study the effect of color Doppler ultrasonography and diagnosis of uterine scar pregnancy (CSP) after cesarean section. Methods Sixty patients with uterine scar pregnancy after cesarean section were diagnosed by color Doppler ultrasonography via abdomen and vagina respectively. The results of postoperative diagnosis were compared and the levels of human chorionic gonadotropin (β-HCG ) And resistance index (RI) changes. Results Fifty-five cases (91.67%) of all the 60 cases were diagnosed as scar pregnancy after operation. 51 cases of uterine scar pregnancy were diagnosed by color Doppler ultrasonography, accounting for 85.00%. Four cases were missed, accounting for 6.67%. There was no significant difference between color Doppler ultrasound and postoperative diagnosis (P> 0.05). After 1 month of treatment, β-HCG and RI in 55 cases of uterine scar pregnancy were better than those before treatment, the differences were statistically significant (P <0.05). And returned to normal levels. Blood flow before treatment, 1 month after treatment, poor blood flow. Conclusion The application of color Doppler ultrasound in the diagnosis of uterine scar pregnancy after cesarean section has high diagnostic accuracy. It is of great value to clinical diagnosis and treatment of patients and is worth popularizing and applying.