探讨彩色多普勒超声在先天性纵隔子宫早、中、晚期妊娠及异位妊娠中的诊断价值

目的研究分析先天性纵隔子宫早、中、晚期妊娠及异位妊娠临床诊断中应用彩色多普勒超声的价值及影响。方法将本院2015年2月至2018年9月期间收治的存在先天性纵隔子宫症状的妊娠患者共73例纳为研究对象开展对比性研究。患者入院后均接受彩色多普勒超声检查,对其先天性纵隔子宫及异位妊娠情况进行初步诊断,并在此基础上对其早、中、晚期妊娠胎儿存活情况进行跟踪调查。以妊娠结束后宫腹腔镜联合手术及异位妊娠治疗结果为基础,对比彩色多普勒超声对先天性子宫纵隔及异位妊娠诊断效果。结果经手术治疗后,73例患者中共确诊完全子宫纵隔者14例(妊娠早期8例,中期4例、晚期2例),不完全子宫纵隔者59例(妊娠早期22例,中期27例、晚期10例),并确诊异位妊娠患者共3例。相较手术治疗结果,彩色多普勒超声对于先天性纵隔子宫早、中、晚期妊娠及异位妊娠的诊断结果无显著差异,且中、晚期完全纵隔子宫妊娠与不完全纵隔子宫妊娠胎儿存活率对比无差异性(P>0.05)。结论在先天性纵隔子宫早、中、晚期妊娠及异位妊娠临床诊断中彩色多普勒超声的诊断效果显著,可在有效反映患者子宫纵隔情况的同时,为妊娠阶段的准确评估提供参考依据。

To Explore the Diagnostic Value of Color Doppler Ultrasonography in Early,Middle,and Late Pregnancy and Ectopic Pregnancy of Congenital Mediastinal Uterus

Objective To study and analyze the value and influence of color Doppler ultrasound in clinical diagnosis of congenital mediastinal uterus in early,middle,and late pregnancy and ectopic pregnancy.Methods 73 pregnant women with congenital mediastinal uterine symptoms admitted to our hospital from February 2015 to September 2018 were enrolled in the comparative study.After admission,all patients underwent color Doppler ultrasonography to make a preliminary diagnosis of congenital mediastinal uterus and ectopic pregnancy.On this basis,the survival of fetuses in early,middle,and late pregnancy was followed up.Based on the results of hysteroscopy combined with laparoscopy and ectopic pregnancy after pregnancy,the diagnostic effects of color Doppler ultrasound on congenital uterine septum and ectopic pregnancy were compared.Results After surgical treatment,14 of 73 patients were diagnosed as complete uterine septum(8 cases in early pregnancy,4 cases in mid-pregnancy and 2 cases in late pregnancy),59 cases as incomplete uterine septum(22 cases in early pregnancy,27 cases in mid-pregnancy and 10 cases in late pregnancy),and 3 cases were diagnosed as ectopic pregnancy.Compared with the results of surgical treatment,color Doppler ultrasound had no significant difference in the diagnosis of early,middle and late congenital mediastinal uterus pregnancy and ectopic pregnancy,and there was no difference in the survival rate of fetuses between complete and incomplete mediastinal uterus pregnancy in the middle and late stages(P>0.05).Conclusion Color Doppler ultrasound is effective in the diagnosis of congenital mediastinal uterus in early,middle and late pregnancy and ectopic pregnancy.It can effectively reflect the condition of uterine mediastinum and provide reference for accurate evaluation of pregnancy stage.