超声检查联合宫腔镜检查在子宫切口瘢痕憩室诊断中的应用

Application of the ultrasound combined with hysteroscopy examination in the diagnosis of uterine incision scar diverticulum

摘要: 目的：探讨宫腔镜联合超声检查在剖宫产术后子宫切口憩室诊断中的应用价值。方法：对35例子宫切口瘢痕憩室患者的临床诊断资料进行回顾性分析。结果：宫腔镜联合超声检查测量憩室长度为（19.6±5.2）mm，宽度为（17.6±4.3）mm，深度为（11.5±3.9）mm，诊断准确率为100.0%，与阴道超声检查差异均有统计学意义（P < 0.01）。结论：宫腔镜联合超声检查是全面评估及诊断子宫切口瘢痕憩室的有效方法，值得临床推广应用。

Abstract: Objective: To explore the application value of the hysteroscopy combined with ultrasound in the diagnosis of uterine incision scar diverticulum.Methods: The clinical data of 35 patients with uterine incision scar diverticulum were retrospectively analyzed.Results: The average length,width and depth of uterine incision scar diverticulum detected by hysteroscopy combined with ultrasound were (19.6±5.2)mm,(17.6±4.3)mm and (11.5±3.9)mm,respectively,and the diagnostic accuracy rate was 100.0%.The difference of the diagnosis rate between hysteroscopy combined with ultrasound and transvaginal ultrasound was statistically significant(P < 0.01).Conclusions: Hysteroscopy combined with ultrasound examination in comprehensive assessing and diagnosing the uterine incision scar diverticulum is effective method,and which is worthy of clinical application.