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目的探讨经阴道彩色多普勒超声对瘢痕子宫妊娠患者的诊断价值。方法选取2013年4月至2015年9月在辽宁省妇幼保健院诊治的瘢痕子宫妊娠患者65例为研究对象,分别行经腹部彩色多普勒超声诊断与经阴道彩色多普勒超声诊断,比较两种方法对瘢痕子宫妊娠的诊断结果。结果经腹部彩色多普勒超声的诊断符合率为67.7%,经阴道彩色多普勒超声的诊断符合率为95.4%,经阴道彩色多普勒超声的诊断符合率明显高于经腹部彩色多普勒超声,差异有统计学意义(P<0.05);经阴道彩色多普勒超声明确诊断的62例患者中,混合包块型29例,孕囊型21例,蜂窝型12例。结论经阴道超声检查可对瘢痕子宫妊娠病灶及周围血流间的关系进行近距离检查,为病情诊断提供有力的参考,可作为瘢痕子宫妊娠的首选检查方法在临床上推广。
Objective To investigate the diagnostic value of transvaginal color Doppler ultrasound in patients with uterine scar pregnancy. Methods From April 2013 to September 2015, 65 cases of uterine pregnancy diagnosed and treated in Liaoning Provincial Maternal and Child Health Hospital were selected as study subjects. The diagnosis of trans-abdominal color Doppler ultrasound and transvaginal color Doppler ultrasound were performed respectively. Kinds of methods for the diagnosis of uterine scar pregnancy results. Results The diagnostic coincidence rate of trans-abdominal color Doppler ultrasound was 67.7%. The diagnostic coincidence rate of transvaginal color Doppler ultrasound was 95.4%. The diagnostic coincidence rate of transvaginal color Doppler ultrasound was significantly higher than that of transabdominal color Doppler ultrasound (P <0.05). Among the 62 patients diagnosed by transvaginal color Doppler ultrasonography, 29 were mixed masses, 21 were gestational sacs and 12 were honeycomb ones. Conclusion Transvaginal ultrasonography can detect the relationship between scar pregnancy uterine pregnancy and peripheral blood flow closely and provide a powerful reference for the diagnosis of the disease. It can be used clinically as the first screening method for scar pregnancy.