Study on the diagnostic coincidence rate of transvaginal color Doppler ultrasonography in patients with uterine scar pregnancy
经阴道彩色多普勒超声检查对子宫瘢痕妊娠患者的诊断符合率研究

摘要

目的 研究经阴道彩色多普勒超声检查对子宫瘢痕妊娠患者的诊断符合率。方法 选择2020年12月－2021年12月到本院治疗子宫瘢痕妊娠患者100例作为观察对象，将病理诊断作为金标准，分析经阴道、经腹部彩色多普勒超声检查结果。结果 以手术病理诊断结果为参照，腹部超声诊断的诊断灵敏度91.67%（55/60）、特异度87.50%（35/40）、准确率90.00%；以手术病理诊断结果为参照，阴道超声诊断的诊断灵敏度83.33%（50/60）、特异度75.00%（30/40）、准确率80.00%，两组间诊断准确率对比，P＜0.05。结论 运用阴道超声诊断方式对子宫瘢痕妊娠诊断准确度较为，可运用。

Abstract

Objective: To study the diagnostic coincidence rate of transvaginal color Doppler ultrasonography in patients with uterine scar pregnancy.
Methods: 100 patients with uterine scar pregnancy treated in our hospital from December 2020 to December 2021 were selected as the observation object. The pathological diagnosis was taken as the gold standard, and the results of transvaginal and transabdominal color Doppler ultrasound were analyzed.
Results: the sensitivity, specificity and accuracy of abdominal ultrasound diagnosis were 91.67% (55 / 60), 87.50% (35 / 40) and 90.00%, respectively; According to the results of surgical and pathological diagnosis, the diagnostic sensitivity, specificity and accuracy of transvaginal ultrasound were 83.33% (50 / 60), 75.00% (30 / 40) and 80.00% (P < 0.05).
Conclusion  : transvaginal ultrasound is more accurate and can be used in the diagnosis of uterine scar pregnancy.