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目的探讨经阴道彩色多普勒超声诊断剖宫产瘢痕部位妊娠的超声诊断价值和误诊原因分析。方法对我院近年来经阴道彩色多普勒超声诊断的109例剖宫产瘢痕部位妊娠患者作回顾性分析,探讨其超声诊断价值和误诊原因。结果109例患者超声诊断结果为胚囊型31例、胚胎型34例、混合包块型18例、不均质肿块型26例;但病理诊断结果为胚囊型30例、胚胎型34例、混合包块型17例、不均质肿块型26例。两者相对比发现,即超声诊断的误诊率为1.83%,两种诊断结果差异不具有统计学意义(P>0.05)。结论经阴道彩色多普勒超声诊断可以明确用于剖宫产瘢痕部位妊娠的诊断,并提高临床治疗效率。
Objective To investigate the value of transvaginal color Doppler ultrasound in the diagnosis of cesarean scar pregnancy and the causes of misdiagnosis. Methods Retrospective analysis of 109 cases of cesarean scar pregnancy in our hospital by transvaginal color Doppler ultrasound in recent years to explore the value of ultrasound diagnosis and misdiagnosis reasons. Results Among the 109 cases, 31 cases were embryo sac type, 34 embryo type, 18 mixed mass type and 26 heterogeneous mass type. Among them, 30 cases were embryo sac type and 34 embryos were pathologically diagnosed, 17 cases of mixed mass type, 26 cases of heterogeneous mass type. The two found that the misdiagnosis rate of ultrasonic diagnosis was 1.83%, the difference between the two diagnostic results was not statistically significant (P> 0.05). Conclusion Transvaginal color Doppler ultrasound diagnosis of cesarean section scar pregnancy can be clearly defined and improve clinical treatment efficiency.