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目的剖析超声诊断剖宫产切口瘢痕妊娠的临床应用价值。方法以2014年9月—2016年8月本院接收的40例剖宫产切口瘢痕妊娠病例作为研究对象,所纳入病例都予以阴道超声检查。全面剖析所选40例病例的超声检查结果,挖掘剖宫产切口瘢痕妊娠诊断用超声检查法的价值。结果本组40例病例都为剖宫产切口瘢痕妊娠者,阴道超声检查提示检出者共38例,占95.0%,余下2例为误诊病例,占5.0%。40例病例阴道超声诊断的准确率为95.0%。本组瘢痕处混合型团块者13例,妊娠囊完全嵌入瘢痕型者18例,妊娠囊部分向宫腔生长型者9例。结论在剖宫产切口瘢痕妊娠病人的诊断工作中合理引入阴道超声检查法,可显著提高诊断准确率,且其超声图像也比较清晰,可供临床借鉴。
Objective To analyze the clinical value of ultrasonic diagnosis of cesarean scar incision. Methods Forty cases of cesarean scar incisional pregnancy received in our hospital from September 2014 to August 2016 were enrolled in this study. Vaginal ultrasonography was performed on all the included cases. A comprehensive analysis of selected 40 cases of ultrasound examination results, excavation cesarean section scar pregnancy diagnostic ultrasound value. Results 40 cases of this group were cesarean section scar pregnancy, vaginal ultrasound examination revealed a total of 38 cases were detected, accounting for 95.0%, the remaining 2 cases were misdiagnosed cases, accounting for 5.0%. 40 cases of vaginal ultrasound diagnostic accuracy rate was 95.0%. The group of mixed clumps in 13 cases of coccyx, gestational sac fully embedded in 18 cases of scar type, part of the gestational sac to uterine growth in 9 cases. Conclusion Reasonable introduction of vaginal ultrasonography in the diagnosis of cesarean scar incision pregnancy patients can significantly improve the diagnostic accuracy, and the ultrasound images are relatively clear for clinical reference.