VALUE OF TRANSVAGINAL ULTRASOUND IN THE DIAGNOSIS OF LOWER CESAREAN SCAR PREGNANCY / 现代医院

ABSTRACT

Objective To evaluate the diagnostic value of transvaginal ultrasound scanning for the lower caesarean scar pregnancy (CSP) after cesarean section.Methods A retrospective analysis was conducted for 18 cases of CSP patients with transvaginal ultrasound scanning in our department from January 2010 to December 2013 after cesarean section, to com-pare the surgical pathology results,to explore the diagnosis accordance rate.Results Transvaginal ultrasound diagnosed 16 CSP cases, except one case of un -definite diagnosis and one case of misdiagnosis, with diagnosis accordance rate of 88.89% (16/18); surgical pathology diagnosed 18 CSP cases, with diagnosis accordance rate of 100.00% (18/18), which had no significant difference ( p >0.05 ) .Conclusion Transvaginal ultrasound scanning can clearly show the relation be-tween gestational sac implantation site and lower caesarean scar, the muscle thickness of lower caesarean scar, and the blood flow distribution, with high diagnosis accordance rate, which is the preferred scanning method for the lower caesarean scar pregnancy after cesarean section.