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目的探讨彩超在不同类型子宫瘢痕中的鉴别价值。方法选取睢县人民医院于2013年10月至2015年5月收治的37例子宫瘢痕妊娠孕妇为研究对象,均予以经阴道B超及经阴道彩超检查。详细记录检查结果,对比两种检查方案对不同类型子宫瘢痕的鉴别符合率。结果此次受试的37例CPS孕妇中胚囊型子宫瘢痕18例(48.6%),包块型子宫瘢痕15例(40.5%),破裂型子宫瘢痕4例(10.8%);彩超鉴别符合率为86.5%,显著高于B超的59.5%,差异有统计学意义(P<0.05)。结论对子宫瘢痕妊娠孕妇予以经阴道彩超检查,可准确鉴别其子宫瘢痕类型,对后续治疗工作的顺利开展有利,值得临床推广。
Objective To investigate the value of color Doppler ultrasound in different types of uterine scar. Methods Totally 37 pregnant women with uterine scar pregnancy who were treated in Shexian People’s Hospital from October 2013 to May 2015 were selected and examined by transvaginal ultrasonography and transvaginal ultrasonography. Detailed records of the test results, compared with the two inspection programs for different types of uterine scar identification coincidence rate. Results In the 37 CPS pregnant women, 18 cases (48.6%) had mesodermal cyst scar, 15 cases (40.5%) had mass scarring and 4 cases (10.8%) had ruptured uterine scar. The coincidence rate (86.5%), which was significantly higher than that of B-ultrasound (59.5%), the difference was statistically significant (P <0.05). Conclusion Pregnant women with uterine scar pregnancy were examined by transvaginal color Doppler ultrasonography, which can accurately identify the type of uterine scar, which is beneficial to the smooth development of follow-up treatment and worthy of clinical promotion.