赣南医科大学学报2025，Vol.45Issue(3)：244-247,4.DOI:10.3969/j.issn.1001-5779.2025.03.007
超声子宫中位线法联合彩色多普勒血流成像诊断剖宫产切口部妊娠(Ⅱ型)的研究
Study on ultrasonic median uterine line combined with CDFI in the diagnosis of cesarean scar pregnancy(Type Ⅱ)
摘要
Abstract
Objective:To analyze the feasibility of midline method combined with color doppler flow imaging(CDFI)in the diagnosis of cesarean scar pregnancy(CSP).Methods:Collected medical records on CSP patients(52 cases)who were diagnosed and pathologically confirmed by ultrasound at The First Affiliated Hospital of Gannan Medical University from January 2018 to January 2021,and who underwent early pregnancy examinations in other hospitals during the same period,and who were diagnosed with normal intrauterine pregnancy in other hospitals,and were diagnosed with normal intrauterine pregnancy in Gannan Medical University(165 cases)after follow-up 3 months later.Analysis of sensitivity and specificity of uterine median method and uterine median method combined with CDFI to diagnose CSP,and the best cut-off value of blood flow Resistance index(RI)in the diagnosis of CSP was analyzed.Results:The sensitivity and specificity of uterine midline method were 98%and 84.8%respectively.The sensitivity and specificity of midline method combined with CDFI(tandem mode)in the diagnosis of CSP were 94.2%and 98.2%respectively.ROC curve analysis showed that the AUC for the diagnosis of CSP by cesarean section myographic RI was 0.959(95%CI:0.923-0.995,P＜0.001),cut-off value was 0.53,sensitivity 98.1%,specificity 93.3%.Conclusion:The diagnosis of type Ⅱ CSP by transvaginal 2-D ultrasound combined with CDFI has obvious advantages.关键词
剖宫产切口部妊娠/超声检查,多普勒,彩色/剖宫产肌层血流Key words
Cesarean scar pregnancy/Ultrasonography,Doppler,color/Resistance index of myometrial blood flow at cesarean section分类
医药卫生引用本文复制引用
任苓,廖慧芳,程芳玲,张朋燕,王圆圆,郑嘉明,谭丹丹..超声子宫中位线法联合彩色多普勒血流成像诊断剖宫产切口部妊娠(Ⅱ型)的研究[J].赣南医科大学学报,2025,45(3):244-247,4.基金项目
江西省卫生健康委员会科技计划项目(20191083) （20191083）
