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目的:对剖腹产瘢痕部位妊娠超声诊断的临床价值进行研究。方法:选取我院剖腹产瘢痕部位妊娠患者12例,分析经腹部超声诊断、经阴道超声诊断和病理诊断结果。结果:经阴道超声诊断和术后病理学诊断显示,胚囊型超声诊断率为75.0%,不均质肿块型为100.0%,胚胎型为100.0%,12例患者经阴道超声诊断同术后病理学诊断符合率高达91.7%;经腹部超声诊断和术后病理学诊断显示,胚囊型超声诊断率为75.0%,不均质肿块型为83.3%,胚胎型为50.0%,经腹部超声诊断同术后病理学诊断符合率为75.00%,两种诊断方法差异有统计学意义(P<0.05)。结论:在剖腹产瘢痕部位妊娠诊断中经阴道超声诊断方法具有较高准确率。
Objective: To study the clinical value of ultrasonic diagnosis of pregnancy in caesarean scar site. Methods: Twelve cases of pregnancy in caesarean section of our hospital were selected. The results of transabdominal ultrasonography, transvaginal ultrasonography and pathological diagnosis were analyzed. Results: Transvaginal ultrasonography and postoperative pathological examination showed that the diagnostic rate of embryo sac type ultrasound was 75.0%, heterogeneous mass type was 100.0% and embryo type was 100.0%. Transvaginal ultrasonography was used to diagnose 12 cases with postoperative disease The coincidence rate of Nephrology diagnosis was as high as 91.7%. Ultrasound diagnosis and postoperative pathological diagnosis showed that the diagnosis rate of embryo sac type ultrasound was 75.0%, heterogeneous mass type was 83.3% and embryo type was 50.0% The coincidence rate of postoperative pathological diagnosis was 75.00%, the difference between the two diagnostic methods was statistically significant (P <0.05). Conclusion: Transvaginal sonography in the diagnosis of cesarean scar pregnancy has a high accuracy.