二维超声联合三维超声成像技术对剖宫产瘢痕妊娠的鉴别诊断价值。

Differential Diagnostic Value of Two-dimensional Ultrasound Combined with Three-dimensional Ultrasound Imaging Technology for Cesarean Scar Pregnancy.

机构信息

Department of Ultrasound, Second People's Hospital of Banan District of Chongqing, Chongqing 400054, China.

出版信息

Curr Med Imaging. 2024;20:1-6. doi: 10.2174/0115734056262717231108115309.

DOI:10.2174/0115734056262717231108115309

PMID:38389350

Abstract

BACKGROUND

Cesarean scar pregnancy (CSP) refers to the phenomenon in which a fertilized egg implants and develops in the scar of the uterus in a woman with a history of cesarean section.

OBJECTIVE

The study aimed to explore the differential diagnostic value of two-dimensional ultrasound (2D US) combined with three-dimensional ultrasound (3D US) for CSP.

METHODS

Clinical data of 89 patients with CSP admitted to our hospital from January 2022 to January 2023 were retrospectively analyzed. Of them, 65 patients met the inclusion criteria. Patients underwent 2D US, 3D US, and combined 2D and 3D US imaging. Using the clinical pathological diagnosis as the "gold standard", the differential diagnostic value of 2D US, 3D US, and 2D US combined with 3D US for CSP was compared.

RESULTS

The detection rate of CSP using a combined 2D US and 3D US was 98.46%, which was higher than 84.62% and 89.23% achieved with 2D US and 3D US alone, respectively (P<0.05). The pathological results showed that among 65 patients, CSP type I accounted for 24.62%, type II accounted for 55.38%, and type III accounted for 20.00%. The coincidence rate of 2D US combined with 3D US was 98.46%, which was higher than that of 2D US (83.08%) and 3D US 89.23%) alone (P<0.05). The accuracy, specificity, and sensitivity of 2D US combined with 3D US in diagnosing CSP were higher compared to the two methods alone (P<0.05).

CONCLUSION

The combination of 2D US and 3D US can accurately detect and classify CSP, further improving diagnostic efficiency.

摘要

背景

剖宫产瘢痕妊娠（CSP）是指有剖宫产史的妇女，其受精卵着床并在子宫瘢痕处发育的现象。

目的

探讨二维超声（2D US）联合三维超声（3D US）对 CSP 的鉴别诊断价值。

方法

回顾性分析 2022 年 1 月至 2023 年 1 月我院收治的 89 例 CSP 患者的临床资料，其中符合纳入标准的患者 65 例。患者均行 2D US、3D US 及 2D US 联合 3D US 检查。以临床病理诊断为“金标准”，比较 2D US、3D US 及 2D US 联合 3D US 对 CSP 的鉴别诊断价值。

结果

联合 2D US 和 3D US 对 CSP 的检出率为 98.46%，高于单独使用 2D US（84.62%）和 3D US（89.23%）的检出率（P<0.05）。病理结果显示，65 例患者中，CSP Ⅰ型占 24.62%，Ⅱ型占 55.38%，Ⅲ型占 20.00%。联合 2D US 和 3D US 的符合率为 98.46%，高于单独使用 2D US（83.08%）和 3D US（89.23%）的符合率（P<0.05）。2D US 联合 3D US 诊断 CSP 的准确性、特异性和敏感性均高于两种方法单独使用（P<0.05）。