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目的分析经阴道三维彩色多普勒超声检查诊断剖宫产瘢痕妊娠的价值。方法随机抽取2014年7月-2016年7月在医院诊治的剖宫产瘢痕妊娠的患者45例,全部患者经阴道三维彩色多普勒超声检查与腹部彩色超声检查,对比2种检查方法的诊断效果。结果经阴道三维彩超检查的确诊率明显高于经腹部彩超检查,漏诊率明显低于经腹部彩超检查,差异均有统计学意义(P<0.05)。以经阴道三维彩超检查的图像特点分为单纯孕囊型28例、混合回声包块型7例以及部分位于子宫腔5例3种类型。结论在剖宫产瘢痕妊娠的诊断中行经阴道三维彩色多普勒的超声诊断,能够提高患者确诊率,降低患者漏诊率,具有应用的价值。
Objective To analyze the value of transvaginal three-dimensional color Doppler ultrasonography in the diagnosis of cesarean scar pregnancy. Methods Forty-five patients with cesarean scar pregnancy diagnosed in the hospital from July 2014 to July 2016 were randomly selected. All the patients underwent vaginal three-dimensional color Doppler ultrasonography and abdominal color sonography, and compared the diagnosis of the two methods effect. Results The diagnosis rate of transvaginal three-dimensional ultrasonography was significantly higher than that of transabdominal color Doppler ultrasound, the rate of missed diagnosis was significantly lower than that of transabdominal color Doppler ultrasound. The difference was statistically significant (P <0.05). Vaginal three-dimensional color Doppler ultrasound examination of the image characteristics are divided into simple gestational sac type in 28 cases, mixed echo mass in 7 cases and part of the uterine cavity in 5 cases of 3 types. Conclusion In the diagnosis of cesarean scar pregnancy by transvaginal three-dimensional color Doppler ultrasound diagnosis, can improve the diagnosis rate of patients and reduce the rate of misdiagnosis in patients with the application of value.