[1]章华.阴道超声联合宫腔镜诊断剖宫产术后子宫憩室的临床价值[J].中国计划生育和妇产科,2018,(7):60-62.
　ZHANG Hua.The clinical value of transvaginal ultrasonography combined with hysteroscopy in diagnosis of previous cesarean scar defect[J].Chinese Journal of Family Planning & Gynecotokology,2018,(7):60-62.
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阴道超声联合宫腔镜诊断剖宫产术后子宫憩室的临床价值
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年7期
页码:
60-62
栏目:
论著与临床
出版日期:
2018-07-25

文章信息/Info

Title:
The clinical value of transvaginal ultrasonography combined with hysteroscopy in diagnosis of previous cesarean scar defect
作者:
章华
同济大学附属第一妇婴保健院超声科
Author(s):
ZHANG Hua
Department of Ultrasonography, First Maternity and Infant Hospital Affiliated to Tongji University, Shanghai 200040, P.R.China
关键词:
剖宫产术后子宫憩室; 阴道超声; 宫腔镜
Keywords:
previous cesarean scar defect;  transvaginal ultrasonography;  hysteroscopy
分类号:
R 714.46
摘要:
目的探讨经阴道超声联合宫腔镜检查在诊断剖宫产术后子宫憩室（previous cesarean scar defect,PCSD）的临床价值。方法回顾性分析2016年7月至2017年6月因PCSD在同济大学附属第一妇婴保健院手术治疗的41例患者的临床资料，对比分析经阴道超声、宫腔镜检查及二者联合检查的结果。结果经阴道超声检出35例，漏诊6例，诊断准确率85 %（35/41）；宫腔镜检出39例，2例漏诊病例均由阴道超声检出。经阴道超声联合宫腔镜检出41例，诊断准确率100 %（41/41），明显高于单纯经阴道超声检查诊断率（P＜005）。结论经阴道超声联合宫腔镜检查能提高PCSD的诊断率。
Abstract:
ObjectiveTo explore the clinical value of transvaginal ultrasonography combined with hysteroscopy in diagnosis of previous cesarean scar defect（PCSD）. MethodsThe data of 41 cases of PCSD treated in First Maternity and Infant Hospital Affiliated to Tongji University from July 2016 to June 2017 were retrospectively analyzed，to compare the results of transvaginal ultrasound, hysteroscopy and a combination of the two. Results35 patients were diagnosed with transvaginal ultrasound and 6 were missed. The diagnostic accuracy was 85 % (35/41). 39 cases were detected by hysteroscopy, 2 cases missed were detected by transvaginal ultrasonography. The diagnostic accuracy rate of transvaginal ultrasonography combined with hysteroscopy was 100 %(41/41)，significantly higher than the rate of diagnosis by transvaginal ultrasound alone(P＜005). ConclusionTransvaginal ultrasonography combined with hysteroscopy can improve the diagnosis rate of PCSD.

参考文献/References:

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更新日期/Last Update: 2018-07-25