陰道彩色多普勒超聲診斷剖宮產切口妊娠的效果分析

許風華

[摘要] 目的 探討剖宮產切口妊娠患者應用陰道彩色多普勒超聲診斷的臨床效果以及價值。方法 方便選擇從2017年11月—2018年11月該院收治的86例剖宮產切口妊娠患者納入該此次研究工作，該86例患者均進行陰道彩色多普勒超聲診斷，根據腹腔鏡手術的結果作為臨床的金標準，將其分別命名為A組（經陰道彩色多普勒超聲診斷）與B組（腹腔鏡手術結果金標準），對其診斷結果進行觀察并進行簡要分析。結果 比較A組與B組誤診率與漏診率，A組漏診率1例（1.16%）高于B組0例（0.00%），誤診率2例（2.33%）高于B組0例（0.00%），數據對比（χ2=1.005 8，P=0.315 8），數據對比（χ2=2.023 5，P=0.154 8），但組間對比差異無統計學意義（P>0.05）;A組與B組總診斷準確率比較，A組總診斷準確率83例（96.51%）低于B組86例（100.00%），數據對比（χ2=3.053 3，P=0.080 5），但組間對比差異無統計學意義（P>0.05）。 結論 給予剖宮產切口妊娠患者實施陰道彩色多普勒超聲診斷，其臨床各類型準確率較高，誤診率以及漏診率較低，對臨床診斷以及后續治療具有重要作用，可廣泛推廣實施運用。

[關鍵詞] 切口妊娠;臨床價值;剖宮產;陰道超聲;診斷結果;彩色多普勒;效果觀察

[中圖分類號] R4? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 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