宫腔镜联合mri在剖宫产切口憩室诊断中的价值论文.pdfVIP

学术论著 中国医学装备2017年5月第14卷第5期 China Medical Equipment 2017May Vol.14No.5 宫腔镜联合MRI在剖宫产切口憩室诊断中的价值 刘 琴① 邱慧玲①* 谢振芳① 陈惠芳① [文章编号] 1672-8270(2017)04-0088-03 [中图分类号] R445.2 [文献标识码] A [摘要] 目的： 通过宫腔镜联合磁共振成像(MRI)或阴道B超对剖宫产切口憩室(PCSD)诊断符合率 的比较,为临床诊断提供检查方法及依据。方法：选取在医院就诊的有剖宫产史切口憩室的患 者99例,所有患者均先行MRI和经阴道B超两种方式检查,再予宫腔镜明确诊断;分别得出诊断 符合率及漏诊率,测量憩室厚度及宽度,并对剖宫产术后PCSD分型,其中厚度＜3 mm,实施宫 腔镜联合腹腔镜憩室切除修补术;憩室厚度≥3 mm,不予处理。结果：MRI和经阴道B超两种诊 断符合率分别为98%和85%,MRI检查的诊断符合率明显高于经阴道B超,其差异有统计学意义 ( 2 =10.875, ＜0.05)。结论：宫腔镜联合MRI检查是目前诊断PCSD最佳方法。 x P [关键词] 宫腔镜;磁共振成像;经阴道B超;憩室;手术并发症 DOI: 10.3969/J.ISSN.1672-8270.2017.04.023 The value of hysteroscopy combined with MRI in diagnosis of post-cesarean section 作者简介 scar diverticulum/LIU Qin, QIU Hui-ling, XIE Zhen-fang, et al//China Medical Equip- ment,2017,14(4):88-90. 刘琴,女,(1983- ), [Abstract] Objective: To compare the coincidence rates between hysteroscopy combined 硕士，医师。厦门大 with magnetic resonance imaging (MRI) and hysteroscopy combined with transvaginal 学附属成功医院 解放 ultrasound imaging for post-cesarean section scar diverticulum (PSCD), and provide 军第174医院妇科，从 better detection method for clinical diagnosis. Methods: 99 suspected patients with scar 事妇科诊疗工作。 diverticulum who had suffered cesarean section were enrolled in this study. They were confirmed by hysteroscopy after they were detected by MRI and transvaginal ultrasound. The coincidence rate, rate of missed diagnosis, thickness and width of diverticulum were calculated and measured. And then the PCSD were somatotyped depended on the thickness of diverticulum, and the repair surgery of diverticulum by using hysteroscopy combined with laparoscopy was applied when the thickness less than 3mm, and nothing was applied when tha