The Diagnostic Value of Ultrasonography in Cesarean Scar Pregnancy
超声对剖宫产术后子宫瘢痕妊娠的诊断价值

摘要

目的 研究超声对剖宫产术后子宫瘢痕妊娠的诊断价值。方法 选择2019年01月－2021年12月到本院剖宫产瘢痕妊娠产妇29例，分析超声诊断价值。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95.23%（20/21）、特异度37.50%（3/8）、准确率79.31%；阴道超声诊断的诊断灵敏度96.00%（24/25）、特异度75.00%（3/4）、准确率93.10%。结论 运用超声技术诊断剖宫产术后子宫瘢痕妊娠价值较高，可以明确产妇瘢痕妊娠的具体范围、位置、子宫肌壁的厚度和血供状况等等，特别是经阴道超声诊断，价值较高，在疾病诊断和治疗中扮演着非常重要角色。

Abstract

Objective The purpose of this study was to investigate the value of ultrasonography in the diagnosis of cesarean scar pregnancy (CSP).
Methods 29 patients with CSP diagnosed and treated in our hospital from January 2019 to December 2021 were recruited, and their ultrasound examination results were analyzed.
Results With reference to the pathological examination results, the diagnostic sensitivity of abdominal ultrasound is 95.23% (20/21), the specificity is 37.50% (3/8) and the accuracy is 79.31%. As for the vaginal ultrasound, results showed that the diagnostic sensitivity is 96.00% (24/25), the specificity is 75.00% (3/4), and the accuracy is 93.10%.
Conclusion   we found that ultrasound is of high value in the diagnosis of cesarean scar pregnancy. It can identify the specific scope, location, the thickness of the uterine muscle wall, and the blood supply of maternal scar pregnancy. In particular, the transvaginal ultrasound has a high diagnostic value and plays an important role in the process of diagnosis and treatment of diseases.