阴道彩色多普勒超声诊断剖宫产切口妊娠的效果分析

许风华

[摘要] 目的 探討剖宫产切口妊娠患者应用阴道彩色多普勒超声诊断的临床效果以及价值。方法 方便选择从2017年11月—2018年11月该院收治的86例剖宫产切口妊娠患者纳入该此次研究工作，该86例患者均进行阴道彩色多普勒超声诊断，根据腹腔镜手术的结果作为临床的金标准，将其分别命名为A组（经阴道彩色多普勒超声诊断）与B组（腹腔镜手术结果金标准），对其诊断结果进行观察并进行简要分析。结果 比较A组与B组误诊率与漏诊率，A组漏诊率1例（1.16%）高于B组0例（0.00%），误诊率2例（2.33%）高于B组0例（0.00%），数据对比（χ2=1.005 8，P=0.315 8），数据对比（χ2=2.023 5，P=0.154 8），但组间对比差异无统计学意义（P>0.05）;A组与B组总诊断准确率比较，A组总诊断准确率83例（96.51%）低于B组86例（100.00%），数据对比（χ2=3.053 3，P=0.080 5），但组间对比差异无统计学意义（P>0.05）。 结论 给予剖宫产切口妊娠患者实施阴道彩色多普勒超声诊断，其临床各类型准确率较高，误诊率以及漏诊率较低，对临床诊断以及后续治疗具有重要作用，可广泛推广实施运用。

[关键词] 切口妊娠;临床价值;剖宫产;阴道超声;诊断结果;彩色多普勒;效果观察

[中图分类号] R4          [文献标识码] A          [文章编号] 1674-0742（2019）06（a）-0020-03

[Abstract] Objective To investigate the clinical effect and value of vaginal color Doppler ultrasound in the diagnosis of cesarean section incision pregnancy. Methods Eighty-six patients in our hospital with cesarean section incision who were admitted from November 2017 to November 2018 were convenient enrolled in the study. All 86 patients underwent vaginal color Doppler ultrasound， based on the results of laparoscopic surgery. The clinical gold standard was named as group A （guided color Doppler ultrasound diagnosis） and group B （gold standard for laparoscopic surgery results）， and the diagnosis results were observed and analyzed briefly. Results The misdiagnosis rate and missed diagnosis rate of group A and group B were compared. The missed diagnosis rate of group A 1 cases（1.16%） was higher than that of group B 0 cases（0.00%）. The rate of misdiagnosis was 2 cases （2.33%）， which was higher than that of group B 0 cases（0.00%）， （χ2=1.005 8， P=0.315 8）， the data comparison（χ2=2.023 5， P=0.154 8）. However， there was no statistically significant difference between the groups （P>0.05）. The total diagnostic accuracy of group A and group B was compared. The total diagnostic accuracy of group A was 83  cases（96.51%）， which was lower than that of group B 86 cases（100.00%），（χ2=3.080 5， P=0.080 5）， but there was no significant difference between the groups （P>0.05）. Conclusion The implementation of guided color Doppler ultrasound in the diagnosis of cesarean section incision pregnancy， has high clinical accuracy， low rate of misdiagnosis and missed diagnosis， which plays an important role in clinical diagnosis and follow-up treatment. .

[Key words] Incision pregnancy; Clinical value; Planing uterus; Vaginal ultrasound; Diagnosis results; Color Doppler; Effect observation