引用本文:[点击复制]
[点击复制]
【打印本页】 【在线阅读全文】【下载PDF全文】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 18次   下载 8 本文二维码信息
码上扫一扫!
经阴道超声对剖宫产术后子宫瘢痕部位早期妊娠的应用价值
李昆萍,谢文杰,谭景,郭志伟,窦羡纳
0
(珠海市人民医院超声影像科;珠海市人民医院产科)
摘要:
目的 探讨经阴道超声在剖宫产术后子宫瘢痕部位早期妊娠中的应用价值。方法 收集2015年1月~2017年12月1870例剖宫产术后再次妊娠早孕期在我院行阴道超声检查孕妇的超声检查结果,将阴道超声诊断结果与妊娠结局及临床病理进行比较,评估经阴道超声对剖宫产术后子宫瘢痕部位早期妊娠的应用价值。结果 临床病理诊断瘢痕妊娠37例,超声诊断瘢痕妊娠正确31例(83.8%),误诊4例(10.8%),漏诊2例(5.4%)。瘢痕妊娠分3型,瘢痕处肌层内孕囊型16例,瘢痕处及宫腔内孕囊型7例,包块型8例。经阴道超声诊断瘢痕妊娠的曲线下面积为0.918,敏感度、特异度为0.838和0.998。结论 经阴道超声能够清晰显示孕囊与子宫瘢痕的关系,对早期诊断子宫瘢痕妊娠具有良好的应用价值,可在临床推广及应用。
关键词:  阴道超声  剖宫产  瘢痕妊娠  早期诊断
DOI:
基金项目:广东省珠海市医学科研基金(2017J024)
Application value of transvaginal ultrasound in early re-pregnancy of cesarean scar uterine
LI Kunping,XIE Wenjie,TAN Jing,GUO Zhiwei,DOU Xianna
(Department of Ultrasound, The People's Hospital of Zhuhai;Department of Obstetrics, The People's Hospital of Zhuhai)
Abstract:
Objective To explore the value of transvaginal ultrasound in the early re-pregnancy of cesarean scar uterine. Methods 1870 first trimester re-pregnancy women underwent transvaginal ultrasound examination in our hospital with a history of cesarean section from January 2015 to December 2017 were included in the present study. The value of transvaginal ultrasound in early repregnancy of cesarean scar uterine were evaluated with the pregnancy outcome and clinicopathology.Results 37 scar pregnancy were diagnosed by clinical pathology. Ultrasound diagnosis of scar pregnancy was correct in 31 cases(83.8%), misdiagnosis in 4 cases(10.8%) and missed diagnosis in 2 cases(5.4%). Scar pregnancies included type of pregnancy sac in the muscle layer at the scar (16 cases), type of pregnancy sac in the scar and uterine cavity (7 cases) and type of block (8 cases). The area under the curve of transvaginal ultrasound diagnosis of scar pregnancy was 0.918. The sensitivity and specificity were 0.838 and 0.998. Conclusion Transvaginal ultrasound can clearly show the relationship between the gestational sac and the scar of the uterus. It has a good application value for the early diagnosis of uterine scar pregnancy.
Key words:  Transvaginal ultrasound  Cesarean sectinon  Scar pregnancy  Early diagnosis

用微信扫一扫

用微信扫一扫