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目的研究宫腔镜联合阴式超声在剖宫产后子宫憩室(CSD)诊断中的价值。方法选取2014年7月至2015年6月因月经间期阴道出血、月经淋漓不尽、经期延长、性交后出血、痛经等症状在茂名石化医院东院妇产科接受检查的患者50例,先行阴式超声检查,然后再在超声引导下行宫腔镜检查,比较两种检查方式的声像学特点,CSD检出率,测量CSD的深度、宽度以及距浆膜面距离。结果阴式超声检查CSD检出率(64.00%)显著低于阴式超声联合宫腔镜检查(90.00%),差异有统计学意义(P<0.05)。CSD深度为(2.52±0.26)mm,宽度为(12.45±2.56)mm,距浆膜面距离为(12.45±2.56)mm。结论宫腔镜联合阴式超声诊断CSD能够充分发挥二者的优势,提高诊断准确率,且无创无痛,简便易行,是准确诊断CSD的有效方法。
Objective To study the value of hysteroscopy combined with vaginal ultrasound in the diagnosis of uterine diverticulum (CSD) after cesarean section. Methods From July 2014 to June 2015, 50 patients with vaginal bleeding during menstruation, vaginal bleeding during menstruation, prolonged menstruation, bleeding after sexual intercourse, dysmenorrhea and other symptoms were examined in the obstetrics and gynecology department of East Hospital of Maoming Petrochemical Hospital. Vaginal ultrasound examination, and then under the guidance of ultrasound hysteroscopy, compared the two inspection methods of acoustic features, CSD detection rate, measurement of CSD depth, width and distance from the serosal surface. Results The positive rate of CSD was significantly lower in genital ultrasound (64.00%) than in vaginal ultrasound combined with hysteroscopy (90.00%). The difference was statistically significant (P <0.05). The depth of CSD was (2.52 ± 0.26) mm, the width was (12.45 ± 2.56) mm, and the distance to the serosal surface was (12.45 ± 2.56) mm. Conclusion Hysteroscopy combined with vaginal ultrasound diagnosis of CSD can give full play to the advantages of both to improve the diagnostic accuracy, and noninvasive and painless, simple and easy, is an effective method for accurate diagnosis of CSD.