经阴道彩超诊断及鉴别子宫瘢痕妊娠60例临床探讨.docVIP

精品论文 参考文献 经阴道彩超诊断及鉴别子宫瘢痕妊娠60例临床探讨 成建华 　　（商丘市第一人民医院放射科彩超室, 河南 商丘 476000） 　　[摘要] 目的 研究阴道彩超诊断及鉴别诊断子宫瘢痕妊娠的临床应用价值。方法 选取2013年7月至2014年8月我院接收并治疗的剖宫产术后出现子宫瘢痕妊娠患者60例，收集患者B超子宫瘢痕妊娠图像及阴道彩超诊断结果进行回顾性分析，比较阴道彩超诊断及鉴别子宫瘢痕妊娠的准确率。结果 B超及阴道彩超诊断包块型及孕囊型子宫瘢痕妊娠图像特征比较，阴道彩超诊断孕囊型子宫瘢痕妊娠准确率明显高于B超准确率，差异有统计学意义（P＜0.01）。结论 经阴道彩超诊断及鉴别剖宫产术后子宫瘢痕妊娠具有重要临床应用价值。 　　[关键词]阴道彩超；瘢痕妊娠；剖宫产； 　　Diagnosis and differential diagnosis of 60 cases of uterine scar pregnancy by transvaginal color Doppler ultrasound 　　Cheng Jianhua (Shangqiu, Henan, color ultrasonic room, Department of Radiology, Shangqiu First Peoples Hospital,) 　　Objective to study the clinical application value of transvaginal color Doppler ultrasound in diagnosis and differential diagnosis of uterine scar pregnancy. Methods in our hospital in July 2013 to 2014 August receiving treatment and cesarean section after uterine scar pregnancy patients 60 cases collected with B-mode ultrasonography of uterine scar image and transvaginal ultrasonography in diagnosis of pregnancy were analyzed retrospectively, compared with transvaginal ultrasound in the diagnosis and differential of uterine scar pregnancy of accuracy. Results the diagnostic accuracy rate of the diagnosis of gestational sac type was significantly higher than that of transvaginal color Doppler ultrasound and transvaginal color Doppler ultrasound in the diagnosis of gestational sac type. The difference was statistically significant (P lt; 0.01). Conclusion transvaginal color Doppler ultrasound in the diagnosis and differential diagnosis of uterine scar pregnancy after cesarean section has important clinical application value. 　　Keywords transvaginal color Doppler ultrasound; scar pregnancy; cesarean section; 　　剖宫产是产科领域用于解决难产、伴有妊娠并发症或合并症者的重要手术。剖宫产手术是经腹部切开子宫取出胎儿，术后缝合子宫常常会留??瘢痕[1]。当剖宫产女性再次妊娠时，胚胎着床在子宫瘢痕附近，容易出现子宫瘢痕妊娠[2]。发生子宫瘢痕妊娠产妇，由于剖宫产手术破坏宫腔与黏膜层完整性，再次妊娠时，孕囊着床于子宫疤痕附近，随着胎儿生长发育，容易导致产妇阴道大出血或妊娠后期子宫破裂，危机产妇及胎儿身体健康，严重者危机生命安全[3]。因此，妊娠期间定期检查，及时发现子宫瘢痕妊娠并采取有效治疗措施，有助于产妇顺利妊娠及分娩。临床诊断及鉴别子宫瘢痕妊娠常用方法为B超检查，本次研究旨在探讨经阴道彩超诊断及