Clinical Value Analysis of Perineum Ultrasonography and transabdominal Ultrasonography in the Diagnosis of cervical Insufficiency
Objective To explore the clinical diagnostic significance of using trans-perineum ultrasonography and transabdominal ultrasonography in patients with cervical insufficiency.Methods A total of 80 suspected patients with cervical insufficiency admitted to the First Affiliated Hospital of Henan University of Science and Technology from January 2020 to January 2022 were included in the study.Patients underwent both trans-perineal and transabdominal ultrasound examinations,Postoperative biopsy was performed to confirm the diagnosis and served as the"Gold standard"for this study.The detection rate,diagnostic efficacy,and image satisfaction of cervical insufficiency patients were compared between trans-perineal and transabdominal ultrasound examinations.Results Postoperative pathological biopsy confirmed 46 patients with cervical insufficiency.The detection rate of cervical insufficiency in admitted patients by trans-perineal ultrasound examination[73.91%(34/43)]was higher than that by transabdominal ultrasound examination[60.87%(28/46)],and the difference was statistically significant(P<0.05).In terms of diagnostic efficacy,the sensitivity and accuracy of trans-perineal ultrasound examination are higher than those of transabdominal ultrasound examination,and the difference is statistically significant(P<0.05).The satisfaction level of cervical internal and external opening images obtained through trans-perineal ultrasound examination was higher than that obtained through transabdominal ultrasound examination,and the difference was statistically significant(P<0.05).Conclusion The application of trans-perineal ultrasound in the diagnosis of cervical insufficiency patients has satisfactory results,and has good guiding value for the health and prognosis adjustment of admitted patients.
cervical insufficiencytrans-perineal ultrasoundtransabdominal ultrasounddiagnostic value