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目的探讨不同途径彩色多普勒超声诊断剖宫产瘢痕妊娠的准确性。方法选择深圳市宝安区中心医院2010年7月-2016年4月收治的78例疑似剖宫产瘢痕妊娠患者为研究对象接受手术诊断。所有患者接受经腹部彩超检查后再实施经阴道彩超检查,分别观察不同检查方案的诊断准确性。结果经腹部彩超诊断符合率为84.62%、经阴道彩超为92.31%、经腹联合经阴道彩超为100.00%,3种方法比较差异有统计学意义(P<0.05);经腹部彩超与经阴道彩超对孕囊部分突入型、孕囊完全突入型、混合团块型的诊断符合率均低于经腹联合经阴道彩超,差异有统计学意义(P<0.05)。结论彩色多普勒超声经腹联合经阴道诊断剖宫产瘢痕妊娠准确率最高,可准确判断妊娠囊类型为临床治疗提供有效指导。
Objective To investigate the accuracy of color Doppler sonography in the diagnosis of cesarean scar pregnancy by different ways. Methods Seventy-eight patients with suspected cesarean scar pregnancy admitted to Shenzhen Baoan Central Hospital from July 2010 to April 2016 were enrolled in the study. All patients underwent transvaginal color Doppler ultrasound examination after abdominal ultrasound, respectively, to observe the diagnostic accuracy of different examination programs. Results The coincidence rate of transvaginal ultrasonography and transvaginal ultrasonography was 84.62%, 92.31% and 100.00%, respectively. There were significant differences among the three methods (P <0.05) On the part of gestational sac invagination, gestational sac completely invaded, the diagnosis of mixed mass type were lower than the rate of transabdominal vaginal ultrasound, the difference was statistically significant (P <0.05). Conclusion Color Doppler ultrasound transvaginal and transvaginal cesarean scar diagnosis of the highest pregnancy rate can accurately determine the type of gestational sac for clinical treatment to provide effective guidance.