经阴道超声在剖宫产切口瘢痕早期妊娠诊断中的应用

目的探讨TVS（经阴道超声）对CSP（剖宫产切口瘢痕妊娠）早期诊断价值及意义。方法选择本院疑似为CSP的20例孕妇为研究对象,回顾分析其彩色多普勒超声图像特征、临床转归以及预后。结果20例疑似CSP患者中14例确诊CSP,其中术后病理证实为13例,诊断准确度为92.86%;6例确诊为非CSP,其中术后病理证实1例为CSP,诊断准确度为83.33%。结论经阴道超声检查有助于对早期剖宫产切口瘢痕妊娠快速准确诊断和鉴别诊断,有助于选择合适的临床治疗方案,值得推广使用。

Application of transvaginal ultrasound in early diagnosis of cesarean scar pregnancy

Objective To investigate early diagnosis value of TVS in diagnosis of CSP. Methods 20 suspected cases of pregnant women in our hospital for the CSP were selected as study,treated by albumin and furosemide supportive care and the treatment group（28）,treated by somatostatin on the basis of control group. Color Doppler ultrasound image features,clinical outcomes,and prognosis were analyzed. Results 20 cases of suspected patients,14 cases diagnosed CSP,which pathologically confirmed 13 cases,the diagnostic accuracy was 92.86%; 6 cases diagnosed as non- CSP,which pathologically confirmed 1 case of CSP,the diagnostic accuracy was 83.33%. Conclusion Transvaginal ultrasound helps cesarean scar pregnancy rapid and accurate diagnosis and differential diagnosis of early stage to help select the appropriate clinical treatment plan.