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目的研究剖宫产术后子宫切口憩室应用经阴道超声联合宫腔镜诊断的价值。方法 87例剖宫产术后子宫切口憩室患者作为观察对象,对全部患者分别采用经阴道超声检查和经阴道超声联合宫腔镜检查,分析经阴道超声检查、经阴道超声联合宫腔镜检查的诊断正确率。结果 87例患者经阴道超声联合宫腔镜检查的正确率为94.25%,明显高于经阴道超声检查的85.06%,差异具有统计学意义(P<0.05)。结论在剖宫产术后子宫切口憩室的诊断中,经阴道超声与宫腔镜联合使用的诊断正确率高,有助于临床上减少误诊病例,且能准确测量出切口憩室的局部情况以及残留肌层的厚度,为后续治疗提供准确的依据,具有重要临床应用推广价值。
Objective To study the value of transvaginal sonography combined with hysteroscopy in the diagnosis of uterine incision diverticulum after cesarean section. Methods Eighty-seven patients with uterine incision and diverticulum after cesarean section were selected as the observation objects. Transvaginal ultrasonography and transvaginal sonography combined with hysteroscopy were performed on all patients. Transvaginal ultrasonography, transvaginal sonography combined with hysteroscopy Diagnose the correct rate. Results The correct rate of transvaginal ultrasound combined with hysteroscopy in 87 patients was 94.25%, which was significantly higher than 85.06% in transvaginal ultrasonography. The difference was statistically significant (P <0.05). Conclusions In the diagnosis of uterine incision diverticulum after cesarean section, the diagnostic accuracy of transvaginal sonography combined with hysteroscopy is high, which is helpful to reduce the misdiagnosis cases clinically and to accurately measure the local situation of incision diverticulum and the residual The thickness of muscular layer, provide accurate basis for follow-up treatment, has important clinical application of promotional value.