论文部分内容阅读
目的:探讨应用经腹部及经会阴超声对剖宫产术后瘢痕妊娠的诊断价值。方法:回顾性分析2010年1月至2013年12月剖宫产术后瘢痕妊娠43例的临床及经腹部、经会阴超声的声像图资料。结果:本组43例剖宫产术后瘢痕妊娠孕妇中,经腹部超声明确诊断者有29例,诊断符合率为67.4%;经会阴部超声明确诊断者有40例,诊断符合率93.0%,经会阴超声检查剖宫产术后瘢痕妊娠的诊断符合率明显高于经腹部超声检查(P<0.05)。结论:经会阴超声检查剖宫产术后瘢痕妊娠的准确性较经腹部超声高,对常规经腹部超声检查不明确诊断瘢痕妊娠者,可再行经会阴超声检查,联合经腹部和经会阴超声检查技术可提高剖宫产术后瘢痕妊娠的临床诊断,建议推广应用。
Objective: To investigate the application of transabdominal and transperineal ultrasound in the diagnosis of cesarean scar pregnancy. Methods: The clinical and transabdominal, transperineal ultrasonographic data of 43 cases of cesarean scar after cesarean section were retrospectively analyzed from January 2010 to December 2013. Results: The group of 43 pregnant women with cesarean scar pregnancy were diagnosed by abdominal ultrasonography in 29 cases, the diagnostic coincidence rate was 67.4%; 40 cases were diagnosed by perineal ultrasonography, the diagnostic coincidence rate was 93.0% The coincidence of the diagnosis of scar pregnancy after cesarean section by perineal ultrasonography was significantly higher than that of transabdominal sonography (P <0.05). CONCLUSIONS: The accuracy of cesarean scar pregnancy after perineal ultrasonography is higher than that of transabdominal ultrasonography. Conventional transabdominal ultrasonography can not confirm the diagnosis of scar pregnancy. It can be transconjunctival ultrasonography, transabdominal and transperineal ultrasonography Technology can improve the clinical diagnosis of cesarean scar pregnancy, it is recommended to promote the application.