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目的探讨经阴道彩超检查在子宫瘢痕妊娠的诊断及鉴别诊断中的临床价值。方法选取医院收治的剖宫产术后瘢痕妊娠患者147例,随机分为观察组74例和对照组73例,对照组行经腹部彩超检查,观察组行经阴道彩超检查,比较2组误诊率和符合率。结果观察组对包块型瘢痕妊娠和孕囊型瘢痕妊娠的误诊率均低于对照组,符合率均高于对照组,差异有统计学意义(P<0.05)。结论经阴道彩超检查在子宫瘢痕妊娠的诊断及鉴别诊断中具有较高的临床价值,值得推广应用。
Objective To investigate the clinical value of transvaginal ultrasound in the diagnosis and differential diagnosis of uterine scar pregnancy. Methods A total of 147 patients with cesarean pregnancy after cesarean section were randomly divided into observation group (74 cases) and control group (73 cases). The control group was examined by abdominal ultrasonography. The observation group was subjected to vaginal ultrasound examination. The misdiagnosis rate and compliance rate. Results The misdiagnosis rate of the observation group was lower than that of the control group in the massaging of pregnancy and gestational sac scar pregnancy, the coincidence rate was higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Transvaginal ultrasound examination in the diagnosis of uterine scar pregnancy and differential diagnosis of high clinical value, it is worth promoting the application.