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目的:探讨对剖宫产后瘢痕妊娠患者采用经阴道超声检查、经腹部超声检查对不同分型的诊断情况。方法:对2015年12月至2016年12月汕尾市人民医院妇产科收治的64例经组织学检查和手术结果证实为剖宫产后瘢痕妊娠患者进行观察,先后采用经阴道超声检查、经腹部超声检查,观察2种检查方法的诊断准确率。结果:64例瘢痕妊娠患者中孕囊部分突入型30例,孕囊完全突入型13例,混合团块型21型。经阴道超声诊断准确率(96.88%)明显高于经腹部超声检查(76.56%),差异具有统计学意义(P<0.05);经阴道超声检查的漏诊率、误诊率均低于经腹部检查(P<0.05)。结论:经阴道超声检查对剖宫产后瘢痕妊娠类型检出情况明显优于经腹部超声检查,可以准确判定瘢痕妊娠类型,为下一步治疗方案提供诊断依据。
Objective: To investigate the diagnosis of cesarean section scar pregnancy by transvaginal ultrasonography, abdominal ultrasound examination of different types of diagnosis. Methods: From December 2015 to December 2016, 64 cases of obstetrics and gynecology admitted to Shanwei People’s Hospital were observed by histological examination and surgical findings after cesarean scar pregnancy. Transvaginal ultrasonography Abdominal ultrasound examination, the two diagnostic methods to observe the diagnostic accuracy. Results: Of the 64 cases of pregnancy with scar, 30 cases were invaded by gestational sac, 13 cases were completely penetrated by gestational sac and 21 were mixed mass. The diagnostic accuracy of transvaginal sonography (96.88%) was significantly higher than that of transabdominal sonography (76.56%) (P <0.05). The rate of missed diagnosis and misdiagnosis of transvaginal sonography was lower than that of transvaginal sonography P <0.05). Conclusion: Transvaginal ultrasonography can detect the type of pregnancy after cesarean section scar well, which can accurately determine the type of scar pregnancy and provide the basis for further treatment.