摘要
目的分析经腹联合经阴道彩色多普勒超声检查在剖宫产子宫瘢痕妊娠(CSP)中的应用及诊断效能。方法选取2018年1月至2020年12月本院接收的110例疑似CSP患者作为研究对象,患者均行经腹彩色多普勒超声、经阴道彩色多普勒超声,以手术病理活检结果作为金标准,观察经腹彩色多普勒超声、经阴道彩色多普勒超声及经腹联合经阴道彩色多普勒超声诊断CSP的结果,并分析3种检查方式的灵敏度、特异度及准确率。结果手术活检结果显示,CSP 74例,占比67.27%,其中孕囊型43例,包块型31例。经腹彩色多普勒超声检查结果显示,阳性76例、阴性34例、误诊11例、漏诊9例;经阴道彩色多普勒超声检查结果显示,阳性75例、阴性35例、误诊9例、漏诊8例;经腹联合经阴道彩色多普勒超声检查结果显示,阳性73例、阴性34例、误诊2例、漏诊3例。3种检查方法灵敏度、特异度比较差异无统计学意义,符合率比较差异有统计学意义(P<0.05);经腹联合经阴道彩色多普勒超声特异度、准确率均高于经腹彩色多普勒超声检查、经阴道彩色多普勒超声检查,差异有统计学意义(P<0.05)。结论经腹联合经阴道彩色多普勒超声检查在CSP诊断中具有较高的应用价值,有助于提高CSP的诊断准确性,减少漏诊或误诊,为患者临床治疗提供参考依据。
Objective To analyze the application and efficacy analysis of combined transabdominal and transvaginal color ultrasonography in the diagnosis of uterine cesarean section pregnancy(CSP).Methods 110 patients with suspected CSP admitted to our hospital from January 2018 to December 2020 were selected as research subjects,all patients underwent transabdominal and transvaginal color Doppler ultrasound,the results of surgical pathological biopsy were used as the gold standard to observe the results of transabdominal color color ultrasonography,transvaginal color ultrasonography and combined transabdominal and transvaginal color color ultrasonography in diagnosing CSP,the sensitivity,specificity and coincidence rate of the three methods were analyzed.Results The results of surgical biopsy showed that 74 cases of CSP were diagnosed,accounting for 67.27%,there were 43 cases of pregnancy-sac type and 31 cases of mass type.The results of transabdominal color ultrasound showed that 76 cases were positive,34 cases were negative,11 cases were misdiagnosed and 9 cases were missed.The results of transvaginal color ultrasound showed that 75 cases were positive,35 cases were negative,9 cases were misdiagnosed and 8 cases were missed.The results of transabdominal and transvaginal color ultrasound showed that 73 cases were positive,34 cases were negative,2 cases were misdiagnosed and 3 cases were missed.There was no significant difference in sensitivity and specificity among the three methods,but there was significant difference in coincidence rate(P<0.05).The specificity and coincidence rate of transabdominal and transvaginal color ultrasonography were higher than those of transabdominal color ultrasonography and transvaginal color ultrasonography,and the difference was statistically significant(P<0.05).Conclusion The combined examination of transabdominal and transvaginal color ultrasonography has the high application value in the diagnosis of CSP,which helps to improve the diagnostic accuracy of CSP,reduce missed diagnosis or mis
作者
雷慧恩
叶小燕
罗冬改
尹丽君
LEI Huien;YE Xiaoyan;LUO Donggai;YIN Lijun(Department of Ultrasound,Liaobu Hospital,Dongguan City,Dongguan,Guangdong,523400,China)
出处
《当代医学》
2023年第13期129-131,共3页
Contemporary Medicine
关键词
剖宫产子宫瘢痕妊娠
经腹彩色多普勒超声
经阴道彩色多普勒超声
Uterine cesarean section pregnancy
Transabdominal color ultrasonography
Transvaginal color ultrasonography
