Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 463-465,475
YAN Jing, LOU Ye-lin, CHEN Jing-wan, XU Chen. Observe on the clinical value of combined multi-channel ultrasound in the diagnosis of cesarean scar pregnancy[J]. Chinese Journal of General Practice, 2021, 19(3): 463-465,475. doi: 10.16766/j.cnki.issn.1674-4152.001836
Citation: YAN Jing, LOU Ye-lin, CHEN Jing-wan, XU Chen. Observe on the clinical value of combined multi-channel ultrasound in the diagnosis of cesarean scar pregnancy[J]. Chinese Journal of General Practice, 2021, 19(3): 463-465,475. doi: 10.16766/j.cnki.issn.1674-4152.001836
shu

Observe on the clinical value of combined multi-channel ultrasound in the diagnosis of cesarean scar pregnancy

doi: 10.16766/j.cnki.issn.1674-4152.001836

  • Department of Ultrasound, Jinhua Central Hospital, Jinhua, Zhejiang 321000, China

Funds:

 2018ZD054

  • Received Date: 2020-07-21
    Available Online: 2022-02-19
    Abstract
  •   Objective  To observe the clinical effect of transabdominal combined with transvaginal color Doppler ultrasound in the early differential diagnosis of cesarean scar pregnancy (CSP).  Methods  Total 110 CSP patients and 110 non CSP patients confirmed during pregnancy clearance were selected as the research objects. All patients were examined by transabdominal ultrasound, transvaginal ultrasound and transabdominal combined transvaginal ultrasound in early pregnancy. The difference of the diagnostic efficacy of the three ultrasound methods for CSP was compared, and the diagnostic coincidence rate of the three ultrasound methods for different clinical types of CSP was counted. The difference of trophoblast blood flow display rate of CSP patients was observed by three ultrasonic examination methods.  Results  The sensitivity, specificity and accuracy of transabdominal combined with transvaginal ultrasound in the differential diagnosis of CSP (98.18%, 96.36% and 97.27%) were significantly higher than those of transabdominal ultrasound (79.09%, 74.54% and 76.82%) and transvaginal ultrasound (90.91%, 88.18% and 89.54%) alone (all P < .05). The diagnostic coincidence rate of type Ⅱ CSP and overall CSP by transabdominal combined with transvaginal ultrasound (95.74% and 94.54%) were significantly higher than that of transabdominal ultrasound (59.57% and 61.82%) and transvaginal ultrasound (82.98% and 81.82%, P < .05). The display rate of trophoblast blood flow in CSP patients by transabdominal combined with transvaginal ultrasound (97.27%) was significantly higher than that by transabdominal ultrasound (76.36%) and transvaginal ultrasound (89.09%) alone (all P < .05).  Conclusion  The combination of transabdominal and transvaginal ultrasound can effectively improve the early differential diagnosis efficiency and classification diagnosis rate of CSP, which is worthy of clinical application.

     

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