首页|经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的价值

经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的价值

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目的 探讨经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的价值.方法 选取 2020 年 1 月至 2023 年 1月我院收治的疑似剖宫产术后盆腔粘连产妇 96 例,经腹腔镜检测确诊 62 例盆腔粘连阳性,34 例盆腔粘连阴性.96 例产妇均进行阴道超声、超声造影检测,比较两种检测方法的诊断结果及诊断效能.结果 经阴道超声联合超声造影检测剖宫产术后盆腔粘连患者阳性 61 例、阴性 35 例;经阴道超声检测剖宫产术后盆腔粘连患者阳性 60 例、阴性 36 例;经超声造影检测剖宫产术后盆腔粘连患者阳性 60 例、阴性 36 例.经阴道超声联合超声造影检测的灵敏度、特异度、阳性率均显著高于经阴道超声、超声造影单独检测,但阴性率低于经阴道超声、超声造影单独检测(P<0.05).结论 经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的诊断价值较高,值得推广.
Value of Vaginal Ultrasound Combined with Ultrasound Contrast Detection in the Assessment of Pelvic Adhesions After Cesarean Section
Objective To explore the value of vaginal ultrasound combined with ultrasound contrast detection in the assessment of pelvic adhesions after cesarean section.Methods 96 puerperae with suspected pelvic adhesions after cesarean section from January 2020 to January 2023 in our hospital were selected.62 positive cases and 34 negative cases of pelvic adhesions were diagnosed by laparoscopy.96 puerperae were detected by vaginal ultrasound and ultrasound contrast,and the diagnostic results and diagnostic efficacy of the two methods were compared.Results 61 positive cases and 35 negative cases of pelvic adhesions after cesarean section were detected by vaginal ultrasound combined with ultrasound contrast.60 positive cases and 36 negative cases of pelvic adhesions after cesarean section were detected by vaginal ultrasound.60 positive cases and 36 negative cases of pelvic adhesions after cesarean section were detected by ultrasound contrast.The sensitivity,specificity and positive rate of vaginal ultrasound combined with ultrasound contrast were significantly higher than those of vaginal ultrasound or ultrasound contrast alone,but the negative rate was lower than that of vaginal ultrasound or ultrasound contrast alone(P<0.05).Conclusions Vaginal ultrasound combined with ultrasound contrast in the assessment of pelvic adhesions after cesarean section has higher diagnostic value,which is worthy of promotion.

Vaginal ultrasoundUltrasound contrastCesarean sectionPelvic adhesions

李慧、刘春节

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河南大学第一附属医院超声医学科,河南开封 475000

阴道超声 超声造影 剖宫产 盆腔粘连

2022年河南省医学科技攻关联合共建项目

LHGJ20220655

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(7)