论文部分内容阅读
目的通过对经腹部超声与经阴道超声诊断剖宫产瘢痕部位妊娠的准确率进行对比,筛选出一种适合诊断剖宫产瘢痕部位妊娠的影像学方法。方法将5 0例入住我院妇产科的剖宫产瘢痕部位妊娠患者的临床资料进行回顾性分析,对经腹部超声与经阴道超声诊断准确率进行对比分析。结果经术后病理诊断,最终确定胚囊型1 9例、不均质肿块型1 6例及混合包块型1 5例。经腹部超声诊断结果分别为:胚囊型1 5例、不均质肿块型1 1例以及混合包块型1 0例,经腹部超声诊断与术后病理诊断符合率为7 2.0 0%(36/5 0);经阴道超声诊断结果分别为:胚囊型1 8例、不均质肿块型1 5例及混合包块型1 5例,经阴道超声诊断与术后病理诊断符合率为9 6.0 0%(4 8/5 0),两种超声诊断方法的准确率相比,差异具有显著的统计学意义(P<0.0 1)。结论经阴道超声诊断剖宫产瘢痕妊娠的准确率显著高于经腹部超声诊断,故阴道超声诊断应在临床上加以推广并应用。
OBJECTIVE: To compare the accuracy of transabdominal ultrasound and transvaginal sonography in the diagnosis of cesarean scar pregnancy, and screen out a suitable imaging method for the diagnosis of cesarean scar pregnancy. Methods The clinical data of 50 pregnant women with cesarean scar in our hospital were analyzed retrospectively. The diagnostic accuracy of transabdominal ultrasonography and transvaginal ultrasonography was compared. Results After pathological diagnosis, 19 embryo sacs, 16 heterogeneous masses and 15 mixed masses were identified. The results of trans-abdominal ultrasound were 15 cases of embryo sac, 11 cases of heterogeneous mass and 10 cases of mixed mass. The coincidence rate of abdominal ultrasonography and postoperative pathological diagnosis was 7 2.0% (36 / 50). The results of transvaginal sonography were: 18 embryo sacs, 15 heterogeneous lumps and 15 mixed lumps. The coincidence rate of transvaginal sonography and postoperative pathological diagnosis was 9 The difference between the two diagnostic methods was statistically significant (P <0.0 1). Conclusion The accuracy of transvaginal sonography in diagnosing cesarean scar pregnancy is significantly higher than that of transabdominal ultrasound, so vaginal ultrasound diagnosis should be popularized and applied clinically.