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目的探讨经阴道B超检查在剖宫产子宫疤痕缺损(PCSD)的早期发现与疗效评估中的应用价值。方法 60例剖宫产产妇,所有产妇均接受经阴道和经腹部B超检查,对比分析两种检查方法产妇子宫疤痕缺损的检出率。PCSD患者经过治疗后分别接受经阴道和经腹部B超检查复查,对比分析两种检查方式对疗效评估的作用。结果经腹部B超检查PCSD检出率为90.0%,经阴道B超检查PCSD检出率为66.7%,比较差异有统计学意义(P<0.05);经过治疗后,痊愈患者54例,经阴道B超检查显示患者的痊愈率为96.3%,明显高于经腹部B超检查的75.9%,差异有统计学意义(P<0.05)。结论阴道B超检查可尽早发现PCSD、尽早治疗,在PCSD的早期发现与疗效评估中具有重要的临床价值,临床上值得推广应用。
Objective To investigate the value of transvaginal ultrasonography in the early detection and curative effect of cesarean section with uterine scar defect (PCSD). Methods 60 cases of cesarean section maternal, all of the mothers received transvaginal and transabdominal B-ultrasound, comparative analysis of the two methods of detection of maternal uterine scar defect detection rate. After treatment, patients with PCSD received transvaginal and transabdominal B-ultrasound examinations respectively. The effects of the two examinations on the efficacy evaluation were compared. Results The detection rate of PCSD by abdominal ultrasonography was 90.0%. The detection rate of PCSD by vaginal ultrasonography was 66.7% (P <0.05). After treatment, 54 patients were cured and transvaginal B-ultrasound showed that the cure rate of patients was 96.3%, which was significantly higher than that of abdominal ultrasonography (75.9%), the difference was statistically significant (P <0.05). Conclusions Vaginal ultrasound examination can find out PCSD as early as possible and has an important clinical value in the early detection and curative effect evaluation of PCSD. It is worth popularizing and applying clinically.