[精品]阴道彩色多普勒超声诊断子宫瘢痕处早期妊娠的价值及临床分析.doc

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1、阴道彩色多普勒超声诊断子宫瘢痕处早期妊娠的价值及临床分析阴道彩色多普勒超声诊断子宫瘢痕处早期妊娠的价值及临床分析［摘耍］目的探讨经阴道彩色多普勒超声诊断子宫瘢痕处早期妊娠的价值。方法选择本院2012年1H-2013年12月收治的60例子宫瘢痕处早期妊娠患者作为研究对象，随机分为A组和B组，各30例，A组行腹部彩超，B组行经阴道彩色多普勒超声，分析超声诊断的图像特点。结果A组检出子宫瘢痕处早期妊娠21例(70.0%),误诊为早孕流产4例、宫颈妊娠2例、宫内妊娠3例；B组检出子宫瘢痕处早期妊娠28例(93.3%),

2、误诊为滋养细胞肿瘤1例、宫颈妊娠1例。B组检出效果显著优于A组，差异有统计学意义(卩〈0・05)。根据超声诊断，可将子宫瘢痕处早期妊娠划分为孕囊型、不均质包块型和混合型三类。结论经阴道彩色多普勒超声可有效诊断子宫瘢痕处早期妊娠，值得临床推广应用。［关键词］经阴道彩色多普勒超声；经腹部多普勒超声；子宫瘢痕早期妊娠；早期诊断［中图分类号］R445.1［文献标识码］A［文章编号］1674-4721(2014)09(c)-0111-03Clinicalanalysisandvalueoftransvaginalcolo

3、rdopplerultrasoundinthediagnosisofuterinescarinearlypregnancyXTONGLin-qingXTEJia—binDepartmentofObstetricsandGynecology,Songgang卩eople7sHospitalofBaoanDistrictinShenzhenCity,Shenzhen518000,China［Abstract］ObjectiveToexsplorethevalueoftransvaginalcolordoppleru

4、ltrasoundinthediagnosisofuterinescarinearlypregnancy・Methods60patientswithuterinescarinearlypregnancyfromJanuary2012toDecember2013inourhospitaiwereselectedandrandomlydividedintoAgroupandBgroup,30casesineachgroup・UnderwentabdominalultrasoundwasusedinAgroup,an

5、dtransvaginalcolordopplerultrasoundwasusedinBgroup.Theimagecharacteristicsofultrasonicdiagnosiswereanalyzed・ResultsTheAgroupwasdetectedin21cases(70.0%)ofuterinescarpregnancy,4casesweremisdiagnosedasearlypregnancyabortion,2casesweremisdiagnosedascervicalpregn

6、&ncy,1casewasmisdiagnosedasintrauterinepregnancy；TheBgroupwasdetectedin28cases(93・3%)ofuterinescarpregnancy,1casewasmisdiagnosedastrophoblastictumor,1caseswasmisdiagnosedascervicalpregnancy.ThedetectingeffectofBgroupwassignificantbetterthanthatofAgroup,withs

7、tatisticaldifference(P<0.05).Byultrasound,uterinescarinearlypregnancywasdividedintothegestationalsactype,heterogeneousmasstypeandmixedtype・ConclusionTransvaginalcolordopplerultrasoundcaneffectivelydiagnoseuterinescarinearlypregnancy,anditisworthyofclinicalpr

8、omotionandapplication.[Keywords]Transvaginalcolordopplerultrasound；Abdominaldopplerultrasound；Uterinescarinearlypregnancy；Earlydiagnosis子宫瘢痕妊娠为较常见的异位妊娠，多表现为绒毛与子宫肌层相互粘连，极易形成子宫破裂，造成严重后果[1-2]。近年来随着