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目的:研究并探讨阴道超声诊断对子宫下段瘢痕处憩室的临床诊断价值。方法:于2011年1月-2015年6月选取80例东莞市清溪医院收治的疑似子宫下段瘢痕处憩室患者,分别对患者进行腹部超声检查和阴道超声检查,并以宫腔镜诊断结果作为金标准,计算腹部超声和阴道超声的诊断敏感性、特异性、准确性。结果:80例疑似患者中有65例被确诊为子宫下段瘢痕处憩室,腹部超声的诊断敏感性为87.69%(57/65),特异性为53.33%(8/15),准确性为81.25%(65/80),阴道超声的诊断敏感性为96.92%(63/65),特异性为86.67%(13/15),准确性为93.75%(75/80),组间相比,差异均具有统计学意义(P<0.05)。结论:在子宫下段瘢痕处憩室的临床诊断中,采用阴道超声进行诊断具有较高的诊断准确性。
Objective: To study and explore the diagnostic value of vaginal ultrasonography in the diagnosis of diverticulum at the lower scar of the uterus. Methods: From January 2011 to June 2015, 80 patients with suspected lower uterine scar in diverticulum admitted to Qingxi Hospital of Dongguan City were enrolled. Ultrasound and vaginal ultrasonography were performed on the patients respectively. Hysteroscopic diagnosis was used as Gold standard, the diagnosis of abdominal ultrasound and vaginal ultrasound sensitivity, specificity, accuracy. Results: Of the 80 suspected cases, 65 cases were diagnosed as diverticulum in the lower uterine scar. The diagnostic sensitivity of abdominal ultrasound was 87.69% (57/65), the specificity was 53.33% (8/15), the accuracy was 81.25% (65/80), the diagnostic sensitivity of vaginal ultrasound was 96.92% (63/65), the specificity was 86.67% (13/15) and the accuracy was 93.75% (75/80) Statistically significant (P <0.05). Conclusions: In the clinical diagnosis of diverticulum in the lower uterine scar, the diagnosis of vaginal ultrasound has high diagnostic accuracy.