腔内彩色多普勒超声诊断剖宫产术后子宫下段早期瘢痕妊娠临床价值.docVIP

腔内彩色多普勒超声诊断剖宫产术后子宫下段早期瘢痕妊娠临床价值 　　[摘要] 目的 探讨剖宫产术后运用腔内彩色多普勒超声检查子宫下段早期瘢痕妊娠（CSP）的作用。 方法 回顾我院2013年2月～2015年2月诊疗的42例剖宫产术后CSP的病例资料，依次对患者行腹部彩色多普勒超声、腔内彩色多普勒超声检查，并根据金标准分析腔内彩色多普勒超声诊断的灵敏度、特异度等。 结果 42例CSP患者中，流产型和胚囊型分别有18例和24例。腔内彩色多普勒超声的检出率是92.86%（39/42），腹部彩色多普勒超声的检出率是71.43%（30/42），两者比较差异有统计学意义（P0.05）。经病理组织证实，腔内彩色多普勒超声的灵敏度和特异度分别为97.5%（39/40）和50.0%（1/2）。 结论 采取腔内彩色多普勒超声技术对剖宫产术后CSP患者进行诊断，对早期确诊并指导临床治疗具有重要价值，值得推广。 　　[关键词] 剖宫产术；腔内彩色多普勒超声；子宫下段早期瘢痕妊娠 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0105-03 　　Clinical value of early scar pregnancy in lower uterine segment after cesarean section diagnosed with intracavity color Doppler ultrasound 　　YUAN Xu 　　Department of Ultrasound，Women and Children′s Hospital of Anshan，Anshan 114013，China 　　[Abstract] Objective To discuss the effect of early scar pregnancy in lower uterine segment after cesarean section （CSP） diagnosed with intracavity color Doppler ultrasound. Methods From February 2013 to February 2015，the clinical data of 42 patients with CSP treated in our hospital were retrospectively studied.Then all the patients were examined with abdominal color Doppler ultrasound and intracavity color Doppler ultrasound.And the results of diagnostic sensitivity and specific degrees were analyzed according to the gold standards. Results The patients with abortion and embryo sac type were 18 cases and 24 cases respectivly among 42 cases of patients with CSP.The detection rate of intracavity color Doppler ultrasound was 92.86% （39/42），and the detection rate of abdominal color Doppler ultrasound was 71.43% （30/42），and the difference between them was statistically significant （P0.05）.Confirmed by histopathology，the diagnosis sensitivity of intracavity color doppler was 97.5% （39/40），and the specificity was 50.0% （1/2）. Conclusion If the patients with CSP after cesarean section are examined with intracavity color Doppler ultrasound，it is beneficial to confirm the condition early，to guide the clinician for formulating the corresponding sc