摘要
目的探讨经阴道超声联合宫腔镜检查在诊断剖宫产术后子宫憩室(previous cesarean scar defect,PCSD)的临床价值。方法回顾性分析2016年7月至2017年6月因PCSD在同济大学附属第一妇婴保健院手术治疗的41例患者的临床资料,对比分析经阴道超声、宫腔镜检查及二者联合检查的结果。结果经阴道超声检出35例,漏诊6例,诊断准确率85%(35/41);宫腔镜检出39例,2例漏诊病例均由阴道超声检出。经阴道超声联合宫腔镜检出41例,诊断准确率100%(41/41),明显高于单纯经阴道超声检查诊断率(P<0.05)。结论经阴道超声联合宫腔镜检查能提高PCSD的诊断率。
Objective To explore the clinical value of transvaginal ultrasouography combined with hystcroscopy in diagnosis of previous cesarean scar defect （PCSD）. Methods The data of 41 cases of PCSD treated in First Maternity and Infant Hospital Affiliated to Tongji University from July 2016 to June 2017 were retrospectively analyzed, to compare the results of transvaginal ultrasound, hysteroscopy and a combination of the two. Results 35 patients were diagnosed with transvaginal ultrasound and 6 were missed. The diagnostic accuracy was 85 % （35/41）. 39 cases were detected by hysteroscopy, 2 cases missed were detected by trausvaginal uhrasonography. The diagnostic accuracy rate of transvaginal ultrasonography combined with hysteroscopy was 100 % （41/41）, significantly higher than the rate of diagnosis by transvaginal ultrasound alone （ P 〈 0. 05 ）. Conclusion Transvaginal ultrasonography combined with hysteroscopy can improve the diagnosis rate of PCSD.
作者
章华
ZHANG Hua(Department of Ultrasonography, First Maternity and Infant Hospital Affiliated to Tongji University, Shanghai 200040, P. R. Chin)
出处
《中国计划生育和妇产科》
2018年第7期60-62,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
剖宫产术后子宫憩室
阴道超声
宫腔镜
previous cesarean scar defect
transvaginal ultrasonography
hysteroscopy
