Comparative analysis of the diagnostic value of vaginal and abdominal color Doppler ultrasonography in uterine incision pregnancy
Objective To compare the practical value of vaginal and abdominal color Doppler ultrasonography in uterine incision pregnancy.Methods A total of 102 pregnant women with suspected uterine incision pregnancy were selected as the study subjects.All the patients underwent vaginal and abdominal color Doppler ultrasonography.Tthe diagnostic results of vaginal and abdominal color Doppler ultrasonography for uterine incision pregnancy were observed using the results of surgical pathology as the gold standard.The sensitivity,specificity and coincidence rate of vaginal and abdominal color Doppler ultrasonography in the diagnosis of uterine incision pregnancy were compared,as well as the diagnostic accuracy of different types of uterine incision pregnancy.Results 102 patients with suspected uterine incision pregnancy were diagnosed positively by surgical pathologic examination in 75 cases(73.53%),of which 28 cases(37.33%)were mixed,32 cases(42.67%)were simple gestational sac and 15 cases(20.00%)were embedded.Vaginal color Doppler ultrasonography detected positivity in 75 cases(73.53%)and abdominal color Doppler ultrasonography detected positivity in 74 cases(72.55%).The sensitivity,specificity,and coincidence rate of vaginal color Doppler ultrasonography for the diagnosis of uterine incision pregnancy were 98.67%,96.30%,and 98.04%,which were higher than 86.67%,66.67%,and 81.37%in abdominal color Doppler ultrasonography(P<0.05).There was no difference in diagnostic accuracy between vaginal and abdominal color Doppler ultrasonography for mixed,simple gestational sac,and embedded uterine incision pregnancies(P>0.05).Conclusion Compared with abdominal color Doppler ultrasonography,vaginal color Doppler ultrasonography is more valuable in the diagnosis of uterine incision pregnancy,and provides a reliable reference for clinical diagnosis and treatment.
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