Diagnostic value of MRI combined with transvaginal ultrasound in scar pregnancy after cesarean section
MRI联合阴道超声对剖宫产术后瘢痕妊娠的诊断价值研究

摘要

目的 探讨分析在进行剖宫产术后瘢痕妊娠患者临床诊断时，将MRI联合阴道超声应用于患者诊断中的效果。方法 本次研究实验时间段设置在2019年4月至2020年6月录入符合要求的64名，我院中确诊为剖宫产术后瘢痕妊娠的患者，作为研究对象，在进行患者的病情判断时，采用MRI与阴道超声进行诊断，分析诊断结果。结果 在研究结果中显示相较于单纯应用阴道超声诊断来说，将MRI联合应用于患者的术后瘢痕妊娠的诊断中，具有更高的诊断准确度，差异显著存在（P＜0.05）。结论 在进行剖宫产手术后瘢痕妊娠患者的临床诊断是应用阴道超声能够获得一定程度的诊断准确度，而为了保障患者的诊疗工作能够顺利进行，对于病情不明确的患者配合应用MRI进行诊断，能够有助于改善患者的诊断准确度。

Abstract

Objective: To explore the diagnostic effect of vaginal ultrasound and transabdominal ultrasound in different types of scar pregnancy after cesarean section.
Methods: from April 2019 to June 2020, 64 pregnant women with cesarean scar were selected as the subjects of this study. After admission, all the pregnant women were judged by the medical staff on their symptoms. Transvaginal ultrasound and MRI combined with vaginal ultrasound were used to record the classification accuracy and diagnostic accuracy of the two examination methods and analyze the differences between the groups.
Results: among the 64 patients with scar pregnancy, there were 30 patients with partial penetration of gestational sac, 16 patients with complete penetration of gestational sac and 18 patients with mixed mass; The results showed that compared with the diagnosis of transvaginal ultrasound alone, the accuracy of MRI combined with transvaginal ultrasound was higher, and the difference between the two groups was significant (P < 0.05).
Conclusion  : in the classification of patients with cesarean scar pregnancy, transabdominal ultrasound, transvaginal ultrasound and MRI can obtain a certain diagnostic effect. However, compared with transabdominal ultrasound, MRI combined with vaginal ultrasound has a higher diagnostic accuracy. The difference between the two groups is significant and statistically significant.