探讨彩色多普勒超声在子宫瘢痕妊娠诊断及治疗中应用价值.docVIP

探讨彩色多普勒超声在子宫瘢痕妊娠诊断及治疗中应用价值 　　[摘要] 目的 探究在子宫瘢痕妊娠的临床诊断及治疗中，采用彩色多普勒超声进行诊断及指导其治疗，观察其临床应用价值。方法 整群选取2014年6月―2016年1月来该院接受诊治的152例子宫瘢痕妊娠病人的临床信息资料作为研究的案例，全部152例病人均实施经阴道和经腹部的彩色多普勒超声诊断检查，回顾分析其临床信息资料，探究在子宫瘢痕妊娠的临床诊断及治疗中，采用彩色多普勒超声进行诊断及指导其治疗，观察其临床应用价值。结果 经腹部的彩色多普勒超声诊断检查，其诊断正确率高达120例（78.95%），经阴道的彩色多普勒超声诊断检查，其诊断正确率高达140例（92.11%）；同时通过对病人超声声像图的分析可发现，在子宫瘢痕妊娠类型方面，有20例（13.16%）病人为混合型，有60例（39.47%）病人为不均质团块型，还有72例（47.37%）病人为胚囊型。结论 在子宫瘢痕妊娠的临床诊断及治疗中，采用彩色多普勒超声进行诊断及指导其治疗，具有较高的诊断正确率，其对于指导病人的有效治疗，有着重要价值。 　　[关键词] 彩色多普勒超声；子宫瘢痕妊娠；诊断；治疗；应用价值 　　[中图分类号] R713.4 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0191-03 　　[Abstract] Objective To study and observe the clinical application value of color Doppler ultrasound in clinical diagnosis and treatment of cesarean scar pregnancy. Methods 152 cases of patients with cesarean scar pregnancy diagnosed and treated in our hospital from June 2014 to January 2016 were selected as the research object and all patients were examined by transvaginal and transabdominal color Doppler ultrasonic diagnosis， the clinical information and data were retrospectively analyzed， and the clinical application value of color Doppler ultrasound in diagnosis and treatment of cesarean scar pregnancy was observed and discussed. Results The accuracy rates of transvaginal and transabdominal color Doppler ultrasonic diagnosis examinations were respectively up to 120 cases （78.95%） and 140 cases （92.11%）， at the same time， the analysis of ultrasonic images of patients discovered that in terms of cesarean scar pregnancy types， 20 cases were in mixed type， （13.16%）， 60 cases were in heterogeneous mass type（39.47%） and 72 cases were in embryo type（47.37%）. Conclusion Color Doppler ultrasound in clinical diagnosis and treatment of cesarean scar pregnancy has a higher diagnostic accuracy rate， and it is of important value to the effective treatment of patients. 　　[Key words] Color Doppler ultrasound； Cesarean scar pregnancy； Diagnosis； Treatment； Application value 　　子宫瘢痕妊娠是一种较为常见的妇科系统疾病，其类属于异位妊娠，且是