彩色多普勒超声在子宫瘢痕妊娠诊断和治疗中应用.docVIP

彩色多普勒超声在子宫瘢痕妊娠诊断和治疗中应用 　　[摘要] 目的 探?彩色多普勒超声在子宫瘢痕妊娠诊断和治疗中的应用。 方法 选择2016年1月～2017年1月在我院进行治疗的50例子宫瘢痕妊娠患者为观察对象，为所有患者进行彩色多普勒超声诊断，并且和手术诊断结果进行对比。之后对比患者在治疗前后的β-HCG（血β人绒毛膜促性腺激素）及RI（阻力指数）。 结果 患者通过彩色多普勒超声的诊断符合例数为49例，诊断符合率为98%，和手术之前的病理结果及诊断标准相比，差异无统计学意义（P0.05）；患者在通过治疗之后的β-HCG具有明显的降低，RI具有明显的提高，和治疗前比较差异有统计学意义（P0.05）。 结论 彩色多普勒超声在子宫瘢痕妊娠诊断中具有较高的准确率，能够给出高精准的定位和定性诊断，在临床疗效评定及治疗过程中具有重要的应用价值。 　　[关键词] 彩色多普勒超声；子宫瘢痕；妊娠诊断；剖宫产术 　　[中图分类号] R445.1 [文献标识码] B [文章编号] 1673-9701（2017）33-0099-03 　　[Abstract] Objective To study the application of color doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy. Methods 50 patients with uterine scar pregnancy who were treated in our hospital from January 2016 to January 2017 were selected for the observed objects. Color Doppler ultrasounds were performed for all patients and compared with the results of surgical diagnosis. And then β-HCG （blood β human chorionic gonadotropin） and RI （resistance index） of patients before and after treatment were compared. Results The patients in the study by color doppler ultrasonography was 49 cases， with the diagnostic coincidence rate of 98%. There was no significant differences between the color doppler ultrasound， the pathological results and diagnostic criteria before operation（P0.05）. The β-HCG of patients significantly decreased after treatment， and the RI significantly improved. There was significant difference between the data before and after treatment（P0.05）. Conclusion Color doppler ultrasound has a high accuracy in the diagnosis of uterine scar pregnancy， which can give high-precision positioning and qualitative diagnosis， and has important application value in the assessment and treatment of clinical efficacy. 　　[Key words] Color doppler ultrasound； Uterine scar； Pregnancy diagnosis； Cesarean section 　　子宫瘢痕妊娠是由于受精卵在剖腹产术后瘢痕或者子宫肌瘤剔除术后瘢痕着床导致的，占异位妊娠的1%～6%。随着社会经济不断发展，我国的剖宫产率不断升高，加上现代诊断技术，尤其超声技术的提高，及对本病认识的提高，其发生率逐年提高。由于子宫瘢痕妊娠临床表现缺乏特异性，对本病认识不充分时易误诊，所以由于误诊导致的临床处理不恰当，不及时，因而导致患者大出血或子宫破裂，甚至危及患者生