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目的:对应用彩色多普勒超声技术在剖宫产术后子宫切口妊娠实施诊断的临床价值进行研究。方法:选取2012年9月-2014年9月汉川市人民医院诊治的剖宫产术后子宫切口妊娠患者46例,和同期接受检查的有剖宫产史无切口处假腔的同年龄段再次正常妊娠者46例,分别将其定义为观察组和对照组。采用彩色多普勒超声技术对两组研究对象进行检查,比较宫腔内异常回声情况、子宫切口假腔、切口肌层厚度、孕囊与切口的距离等指标。结果:观察组研究对象中宫腔内存在异常回声的人数明显少于对照组,差异具有统计学意义(P<0.05);有子宫切口假腔的人数明显多于对照组,差异具有统计学意义(P<0.05);切口肌层厚度和孕囊与切口的距离明显低于对照组,差异具有统计学意义(P<0.05)。结论:应用彩色多普勒超声技术对剖宫产术后子宫切口妊娠实施诊断具有较高的临床价值。
Objective: To study the clinical value of color Doppler ultrasound in the diagnosis of uterine incision pregnancy after cesarean section. Methods: Forty-six cases of uterine incision pregnancy after cesarean section were diagnosed and treated in Hanchuan People’s Hospital from September 2012 to September 2014, and the same age group of cesarean section without false incision Another 46 cases of normal pregnancy, respectively, defined as the observation group and the control group. Color Doppler ultrasound was used to examine the two groups of subjects and compare intrauterine abnormal echo, uterine incision false lumen, incisional myometrial thickness, gestational sac and incision distance and other indicators. Results: The number of abnormal echoes in the uterine cavity in the observation group was significantly less than that in the control group (P <0.05), the number of the false lumen in the uterine incision was significantly more than that in the control group, the difference was statistically significant (P <0.05). The thickness of incisional muscle and the distance between gestational sac and incision were significantly lower than those in control group (P <0.05). Conclusion: The application of color Doppler ultrasound in cesarean section after uterine incision pregnancy diagnosis has a high clinical value.