经阴道彩色多普勒超声联合MRI诊断剖宫产术后瘢痕妊娠的价值分析
|
摘要
目的探讨剖宫产术后瘢痕妊娠实施经阴道彩色多普勒超声联合MRI诊断的价值。方法择取我院2017年1月～2018年10月收治的36例剖宫产术后瘢痕妊娠患者,对所有患者进行经阴道彩色多普勒超声检查和MRI检查,比较两种方式单独检查和联合检查的效果。结果实施MRI检查对剖宫产术后瘢痕妊娠的总检出率(94.4%)高于经阴道彩色多普勒超声检查(77.8%)(P<0.05);实施经阴道彩色多普勒超声检查和MRI检查联合时对剖宫产术后瘢痕妊娠的总检出率(100.0%)高于经阴道彩色多普勒超声单独检查(77.8%)(P<0.05);实施经阴道彩色多普勒超声检查和MRI联合诊断检查时对剖宫产术后瘢痕妊娠的总检出率(100.0%)高于MRI单独检查(94.4%)(P<0.05)。结论剖宫产术后瘢痕妊娠实施MRI诊断效果优于经阴道彩色多普勒超声检查,且实施经阴道彩色多普勒超声联合MRI诊断的效果更好,可进一步降低漏诊风险。
Objective To explore the value of transvaginal color Doppler ultrasound combined with MRI in the diagnosis of scar pregnancy after cesarean section. Methods 36 patients with scar pregnancy after cesarean section treated in our hospital from January 2017 to October 2018 were selected and all the patients were given transvaginal color Doppler ultrasound combined with MRI. The effects of the two examine methods were compared. Results The total detection rate of scar pregnancy after cesarean section was 94.4% by MRI, which was higher than that of transvaginal color Doppler ultrasonography(77.8%)(P<0.05). The total detection rate of scar pregnancy after cesarean section by transvaginal color Doppler ultrasonography combined with MRI was 100.0%, which was higher than that of transvaginal color Doppler ultrasound alone(77.8%)(P<0.05), and higher than that of MRI alone(94.4%)(P<0.05). Conclusion The diagnostic effect of MRI of scar pregnancy after cesarean section is better than that of transvaginal color Doppler ultrasonography, and the combination of the two methods is more effective, which can further reduce the risk of missed diagnosis.
Objective To explore the value of transvaginal color Doppler ultrasound combined with MRI in the diagnosis of scar pregnancy after cesarean section. Methods 36 patients with scar pregnancy after cesarean section treated in our hospital from January 2017 to October 2018 were selected and all the patients were given transvaginal color Doppler ultrasound combined with MRI. The effects of the two examine methods were compared. Results The total detection rate of scar pregnancy after cesarean section was 94.4% by MRI, which was higher than that of transvaginal color Doppler ultrasonography(77.8%)(P<0.05). The total detection rate of scar pregnancy after cesarean section by transvaginal color Doppler ultrasonography combined with MRI was 100.0%, which was higher than that of transvaginal color Doppler ultrasound alone(77.8%)(P<0.05), and higher than that of MRI alone(94.4%)(P<0.05). Conclusion The diagnostic effect of MRI of scar pregnancy after cesarean section is better than that of transvaginal color Doppler ultrasonography, and the combination of the two methods is more effective, which can further reduce the risk of missed diagnosis.
引文
[1]陈丽,李小晶,李蕾,等.经阴道超声和MRI对剖宫产术后早期子宫瘢痕妊娠的诊断价值比较[J].实用放射学杂志,2016,32(4):566-569.
[2]曹燕,耿秀艳,赵长燕,等.经阴道彩色多普勒超声诊断剖宫产切口瘢痕妊娠的临床价值[J].中国妇幼保健,2017,32(5):1067-1069.
[3]钟素霞,谢文杰,朱文燕,等.经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠诊治中的应用[J].河北医学,2017,23(4):555-558.
[4]葛才锋,褚晓玲.剖宫产术后子宫瘢痕妊娠超声诊断分析[J].安徽医学,2017,38(7):872-874.
[5]方瑾,张宋玲,易佰蓉,等.经阴道彩色多普勒超声对剖宫产疤痕妊娠分型及术式选择的临床价值[J].中国数字医学,2017,12(3):35-37.
[6]向莉,陈畅,曾翔,等.经阴道彩色多普勒超声对剖宫产瘢痕处早期妊娠的临床价值[J].临床超声医学杂志,2016,18(5):359-360.
[7]李艳彬,孟雷,赵雅萍,等.经阴道超声联合磁共振对剖宫产术后子宫瘢痕妊娠的诊断价值[J].医学研究杂志,2017,46(2):74-77.
[8]杜新兴,宋锁言,朱华,等.TACD与TVCD联合诊断剖宫产后子宫瘢痕妊娠的影像特点及临床意义[J].中国妇幼保健,2017,32(22):5760-5762.
[9]Glavind J,Madsen LD,Uldbjerg N,et al.Cesarean section scar measurements in non-pregnant women using three-dimensional ultrasound:A repeatability study[J].Eur J Obstet Gynecol Reprod Biol,2016,201:65-69.
[10]马鹰,祝海城,何大馨,等.超声联合3.0MRI在剖宫产术后切口瘢痕妊娠中诊断价值分析[J].中国CT和MRI杂志,2017,15(4):111-113,132.
[11]Jurkovic D,Knez J,Appiah A,et al.Surgical treatment of Cesarean scar ectopic pregnancy:Efficacy and safety of ultrasound‐guided suction curettage[J].Ultrasound Obstet Gynecol,2016,47(4):511-517.
[12]宋晔,石舟红.经阴道超声与磁共振成像诊断剖宫产术后早期子宫瘢痕妊娠的价值比较[J].中国妇幼保健,2017,32(24):6333-6335.
[13]雷岩,魏冉,宋彬,等.剖宫产子宫瘢痕妊娠MRI及超声诊断对照分析[J].中国医学计算机成像杂志,2017,23(2):151-155.
[14]徐优文,郭银珍.剖宫产切口瘢痕妊娠的MRI、超声表现及诊断价值[J].中国CT和MRI杂志,2016,14(6):101-103.
[15]Yao M,Wang W,Zhou J,et al.Cesarean section scar diverticulum evaluation by saline contrast-enhanced magnetic resonance imaging:The relationship between variable parameters and longer menstrual bleeding[J].J Obstet Gynaecol Res,2017,43(4):696-704.
[2]曹燕,耿秀艳,赵长燕,等.经阴道彩色多普勒超声诊断剖宫产切口瘢痕妊娠的临床价值[J].中国妇幼保健,2017,32(5):1067-1069.
[3]钟素霞,谢文杰,朱文燕,等.经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠诊治中的应用[J].河北医学,2017,23(4):555-558.
[4]葛才锋,褚晓玲.剖宫产术后子宫瘢痕妊娠超声诊断分析[J].安徽医学,2017,38(7):872-874.
[5]方瑾,张宋玲,易佰蓉,等.经阴道彩色多普勒超声对剖宫产疤痕妊娠分型及术式选择的临床价值[J].中国数字医学,2017,12(3):35-37.
[6]向莉,陈畅,曾翔,等.经阴道彩色多普勒超声对剖宫产瘢痕处早期妊娠的临床价值[J].临床超声医学杂志,2016,18(5):359-360.
[7]李艳彬,孟雷,赵雅萍,等.经阴道超声联合磁共振对剖宫产术后子宫瘢痕妊娠的诊断价值[J].医学研究杂志,2017,46(2):74-77.
[8]杜新兴,宋锁言,朱华,等.TACD与TVCD联合诊断剖宫产后子宫瘢痕妊娠的影像特点及临床意义[J].中国妇幼保健,2017,32(22):5760-5762.
[9]Glavind J,Madsen LD,Uldbjerg N,et al.Cesarean section scar measurements in non-pregnant women using three-dimensional ultrasound:A repeatability study[J].Eur J Obstet Gynecol Reprod Biol,2016,201:65-69.
[10]马鹰,祝海城,何大馨,等.超声联合3.0MRI在剖宫产术后切口瘢痕妊娠中诊断价值分析[J].中国CT和MRI杂志,2017,15(4):111-113,132.
[11]Jurkovic D,Knez J,Appiah A,et al.Surgical treatment of Cesarean scar ectopic pregnancy:Efficacy and safety of ultrasound‐guided suction curettage[J].Ultrasound Obstet Gynecol,2016,47(4):511-517.
[12]宋晔,石舟红.经阴道超声与磁共振成像诊断剖宫产术后早期子宫瘢痕妊娠的价值比较[J].中国妇幼保健,2017,32(24):6333-6335.
[13]雷岩,魏冉,宋彬,等.剖宫产子宫瘢痕妊娠MRI及超声诊断对照分析[J].中国医学计算机成像杂志,2017,23(2):151-155.
[14]徐优文,郭银珍.剖宫产切口瘢痕妊娠的MRI、超声表现及诊断价值[J].中国CT和MRI杂志,2016,14(6):101-103.
[15]Yao M,Wang W,Zhou J,et al.Cesarean section scar diverticulum evaluation by saline contrast-enhanced magnetic resonance imaging:The relationship between variable parameters and longer menstrual bleeding[J].J Obstet Gynaecol Res,2017,43(4):696-704.