四川生理科学杂志2023,45(9)TVCDS联合MRI检查对瘢痕妊娠诊断准确率的影响翟赛男1*唐海彦2任璐3张娟娟4（1.开封市祥符区第一人民医院超声科，河南开封475100；2.开封市祥符区第一人民医院妇产科，河南开封475100；3.河南大学淮河医院妇产科，河南郑州450000；4.河南大学淮河医院超声医学科，摘要目的：探究经阴道彩色多普勒超声（TransvaginalcolorDopplerultrasound，TVCDS）联合磁共振成像（Magneticresonanceimaging，MRI）检查对瘢痕妊娠诊断价值及临床意义。方法：选取我院2017年3月至2020年6月期间疑似瘢痕妊娠患者87例，均行TVCDS检查、MRI检查。采用诊断四格表统计TVCDS检查、MRI检查瘢痕妊娠的检查结果并比较诊断准确率、漏诊率、误诊率及TVCDS影像学表现。结果：MRI检查瘢痕妊娠准确率高于TVCDS检查，漏诊率、误诊率低于TVCDS检查（P<0.05）；联合检查漏诊率低于MRI、TVCDS检查，准确率高于MRI、TVCDS检查（P<0.05）。结论：TVCDS能准确区分瘢痕妊娠不同类型，而联合MRI能提高诊断准确率，减少漏诊，可作为临床诊断瘢痕妊娠诊断、病情评估的可靠手段，为临床提供参考依据。关键词：经阴道彩色多普勒超声；瘢痕妊娠；准确率EffectsofTVCDScombinedwithMRIonthediagnosticaccuracyofcicatricialZhaiSai-nan1,TangHai-yan²2,RenLu3,ZhangJuan'juan4(1.DepartmentofUltrasound,TheFirstPeople'sHospitalofXiangfuDistrict,Kaifeng475100,Henan,China;2.TheFirstPeople'sHospitalofXiangfuDistrict,Kaifeng475100,Henan,China;3.HuaiheHospitalofHenanUniversityObstetricsandGynecology,Zhengzhou45000o,China;4.DepartmentofUltrasoundMedicine,HuaiheHospital,HenanUniversity,AbstractObjective:ToexplorethediagnosticvalueandclinicalsignificanceoftransvaginalcolorDopplersonography(TVCDS)combinedwithmagneticresonanceimaging(MRI)incicatricialpregnancy.Methods:Atotalof87patientswithsuspectedscarpregnancyinourhospitalfromMarch2017toJune2020wereselectedandexaminedbyTVCDSandMRI.TheresultsoftheTVCDSexaminationandMRIexaminationofcicatricialpregnancywerecountedbyusingfourdiagnostictables,andthediagnosticaccuracy,misseddiagnosisrate,misdiagnosisrate,andTVCDSimagingperformancewerecompared.Results:TheaccuracyrateofMRIindetectingcicatricialpregnancywashigherthanthatofTVCDS,andtherateofmisseddiag...
