经阴道超声和经腹部超声测量瘢痕妊娠的瘢痕厚度与实际厚度的相关性分析

doi:10.7517/issn.1674-0475.190802

摘要/Abstract

摘要： 采用阴道超声和腹部超声检测瘢痕妊娠患者瘢痕厚度，分析两种超声方式检测结果与患者实际厚度的相关性。选取本院收治的424例剖宫产后瘢痕子宫妊娠患者进行研究，分析阴道和腹部超声检测结果和手术观察结果间的相关性。检查发现，阴道超声检出率，以及与手术数据的相关系数，均明显优于腹部超声，证明阴道超声与手术观察结果的相关性更强，P<0.05，差别具有统计学意义；经Logistic回归分析结果显示，阴道超声检测的瘢痕厚度与手术观察结果的符合度更高，P<0.05，差别有统计学意义。本研究结果证明阴道超声和腹部超声相比，前者的检测结果与手术观察结果更为相符，能够准确显示出患者子宫前壁下段有无瘢痕问题，提升确诊率。

关键词: 阴道超声, 腹部超声, 瘢痕妊娠

Abstract: Vaginal ultrasound and abdominal ultrasound were used to detect the thickness of scar in patients with scar pregnancy, and the correlation between the results of two ultrasound methods and 101 the actual thickness of the patients was analyzed. A total of 424 patients with scar uterine pregnancy after cesarean section were enrolled in this study. The correlation between vaginal and abdominal ultrasound findings and surgical observations was analyzed. The examination found that the vaginal ultrasound detection rate and the correlation coefficient of the surgical data were significantly better than abdominal ultrasound, which proved that the correlation between vaginal ultrasound and surgical observation was stronger, P<0.05, the difference was statistically significant. The results of Logistic regression analysis showed that the thickness of the scar detected by vaginal ultrasound was more consistent with the surgical observation, P<0.05, the difference was statistically significant. It is proved that results of the vaginal ultrasound are more consistent with the surgical observation results, which can accurately show the presence or absence of scars in the lower anterior wall of the patient's uterus and improve the diagnosis rate.

Key words: vaginal ultrasound, abdominal ultrasound, scar pregnancy

石辛景, 康志平, 刘亚静, 邢龙颜, 杨冬雪, 陈莉茹. 经阴道超声和经腹部超声测量瘢痕妊娠的瘢痕厚度与实际厚度的相关性分析[J]. 影像科学与光化学, 2020, 38(1): 101-108.

SHI Xinjing, KANG Zhiping, LIU Yajing, XING Longyan, YANG Dongxue, CHEN Liru. Correlation Between the Thickness of Scar and the Actual Thickness of Scar Pregnancy Measured by Transvaginal Ultrasound and Transabdominal Ultrasound[J]. Imaging Science and Photochemistry, 2020, 38(1): 101-108.

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