经腹联合经阴道彩超对剖宫产术后子宫切口妊娠诊断的临床价值

目的经腹联合经阴道彩超对剖宫产术后子宫切口妊娠诊断的临床价值。方法选择50例疑似子宫切口妊娠病人作为研究对象，先行经腹彩超检查，再次进行经阴道彩超检查，并经手术及病理证实有43例为切口妊娠，比较经腹彩超、经阴道彩超以及两者联合应用的诊断效果。结果对于切口妊娠，联合超声的敏感性为100.00%，分别高于经腹超声、经阴道超声58.13%、95.34%（P < 0.01），对于三种不同的检查方法的特异性和准确性差异均无统计学意义（P>0.05）。结论经腹彩超检查联合经阴道彩超检查可以大幅提高切口妊娠的诊断率，值得推广。

Study on the clinical value of transabdominal combined with transvaginal color Doppler ultrasound in the diagnosis of cesarean scar pregnancy

ObjectiveTo analyze the clinical value of transabdominal combined with transvaginal color Doppler ultrasound in the diagnosis of cesarean scar pregnancy.MethodsFifty cases suspected by uterine incision pregnancy were selected as subjects.All patients were examined by abdominal and transvaginal color Doppler ultrasound, and 43 cases with cesarean scar pregnancy were identified by the results of operation and pathology.The diagnostic effects among transabdominal ultrasound, transvaginal ultrasound and combined application were compared.ResultsFor incisinal pregnancy, the sensitivity of combined ultrasound was 100.00%, which was higher than that of transabdominal transvaginal and 58.13%, 95.34%(P < 0.01), respectively.There was no statistical difference in the specificity and accuracy of the three different methods(P>0.05).ConclusionTransabdominal combined with transvaginal color Doppler ultrasound can greatly improve the diagnosis rate of incisional pregnancy, and is worth popularizing.