摘要
目的 浅析彩色多普勒超声在子宫瘢痕妊娠诊断及治疗中的应用价值。方法 选取2023年1月~2023年12月收治的子宫瘢痕妊娠患者60例,使用彩色多普勒超声对所有患者进行诊断,以手术诊断结果为标准,判断彩色多普勒超声的诊断准确率,对比患者治疗前后血β人绒毛膜促性腺激素水平和阻力指数。结果 色多普勒超声的诊断结果与手术诊断结果无明显差异(P>0.05);治疗后患者的血β人绒毛膜促性腺激素水平低于治疗前,阻力指数高于治疗前,差异明显(P<0.05)。结论 彩色多普勒超声在子宫瘢痕妊娠诊断及治疗中的应用效果较好,应当结合具体情况选择经腹或者经阴道多普勒超声诊断,及时判断产妇情况,提供专业指导。
关键词: 彩色多普勒超声;子宫瘢痕;妊娠诊断;治疗价值
Abstract
Objective To analyze the application value of color Doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy. Methods 60 patients with uterine scar pregnancy admitted from January 2023 to December 2023 were selected, and all patients were diagnosed using color Doppler ultrasound. Based on the diagnostic results of color Doppler ultrasound, the blood β human chorionic gonadotropin level and resistance index before and after treatment. Results There was no significant difference between the diagnostic results of color Doppler ultrasound (P> 0.05); blood β human chorionic gonadotropin level was lower than before treatment, and resistance index was higher than before treatment, and the difference was obvious (P <0.05). Conclusion The application effect of color Doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy is good, and the transabdominal or transvaginal Doppler ultrasound diagnosis should be selected according to the specific situation, so as to timely judge the maternal situation and provide professional guidance.
Key words: Color Doppler ultrasound; Uterine scar; Pregnancy diagnosis; Therapeutic value
参考文献 References
[1] 赵文琪.彩色多普勒超声在子宫瘢痕妊娠诊断和治疗中的价值体会[J].中国医疗器械信息,2022,28(07):100-102.
[2] 张燕芳,黄慧芹,谢维芳.彩色多普勒超声在诊断及治疗子宫瘢痕妊娠中应用价值[J].影像研究与医学应用,2021, 5(17):108-109.
[3] 方红.经阴道彩色多普勒超声在子宫瘢痕处早期妊娠诊断中的应用研究[J].智慧健康,2021,7(20):7-9.
[4] 李丽.彩色多普勒超声在子宫瘢痕妊娠诊断的应用价值[J].现代诊断与治疗,2020,31(07):1137-1138.
[5] 齐进利,王婧,李延荣,等.经阴道和腹部彩色多普勒超声对子宫切口妊娠的诊断价值比较[J].广西医科大学学报, 2018, 35(5):700-702.
[6] 刘杰,王贝朵,杨茹.彩色多普勒超声对子宫瘢痕情况的评价及妊娠相关指导的意义[J].当代医学,2021,27(10): 63-65.
[7] 张利媛,李慧东,张慧,等.剖宫产后瘢痕妊娠早期诊断中经腹部彩色多普勒超声的应用及临床意义分析[J].中国妇幼保健,2020,35(16):178-180.
[8] 李媛媛,陈静.不同途径彩色多普勒超声诊断子宫角部和输卵管间质部妊娠的价值分析[J].中国实验诊断学,2019, 23(2):218-222.
[9] 张燕芳.彩色多普勒超声在诊断及治疗子宫瘢痕妊娠中应用价值[J].影像研究与医学应用,2021(17).
[10] 门杰, 曾宁, 关颖瑜, 等. 彩色多普勒超声在子宫瘢痕妊娠诊治中的应用[J]. 中国中西医结合影像学杂志, 2015, 13(5): 528-530.