剖宫产术后切口瘢痕妊娠的阴道三维超声诊断

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1、剖宫产术后切口瘢痕妊娠的阴道三维超声诊断［摘要］目的探讨经阴道三维超声在子宫瘢痕妊娠中的诊断价值。方法选择经本院手术及病理确诊的36例子宫瘢痕妊娠患者的病例资料，分析其超声图像及临床特点。结果完全型切口妊娠24例，占66.7%;部分型切口妊娠8例，占22.2%;混合回声团块型4例，占11.1%。彩色多普勒及脉冲多普勒检测到孕囊或团块内部及周边有少许或丰富的高速低阻滋养动脉血流信号。结论经阴道三维超声在子宫瘢痕处妊娠特别是部分型切口妊娠的早期诊断及治疗中具有重要的临床价值，在指导临床选择治疗方案及评估疗效方面发挥着重要作用。［关键词］瘢痕妊娠；剖宫产；三维超声［中图分类号］R719.8

2、［文献标识码］A［文章编号］1674-4721(2015)05(c)-0055-04[Abstract]ObjectiveTodiscussthevalueoftransvaginalthree-dimensionalultrasonographyinthediagnosisofpregnancyoncesareansectionscar.Methods36patientswithscarpregnancywhowerediagnosedsurgicallyandpathologicallyinourhospitalwereselected.Characteristicsofultr

3、asoundimageandclinical剖宫产术后切口瘢痕妊娠的阴道三维超声诊断［摘要］目的探讨经阴道三维超声在子宫瘢痕妊娠中的诊断价值。方法选择经本院手术及病理确诊的36例子宫瘢痕妊娠患者的病例资料，分析其超声图像及临床特点。结果完全型切口妊娠24例，占66.7%;部分型切口妊娠8例，占22.2%;混合回声团块型4例，占11.1%。彩色多普勒及脉冲多普勒检测到孕囊或团块内部及周边有少许或丰富的高速低阻滋养动脉血流信号。结论经阴道三维超声在子宫瘢痕处妊娠特别是部分型切口妊娠的早期诊断及治疗中具有重要的临床价值，在指导临床选择治疗方案及评估疗效方面发挥着重要作用。［关键词］瘢痕妊娠

4、；剖宫产；三维超声［中图分类号］R719.8［文献标识码］A［文章编号］1674-4721(2015)05(c)-0055-04[Abstract]ObjectiveTodiscussthevalueoftransvaginalthree-dimensionalultrasonographyinthediagnosisofpregnancyoncesareansectionscar.Methods36patientswithscarpregnancywhowerediagnosedsurgicallyandpathologicallyinourhospitalwereselected

5、.Characteristicsofultrasoundimageandclinicaldatawereanalyzed.Results24patientswerepregnancywithcompleteincision,accountingfor66.7%；8patientswerepregnancywithpartialincision,accountingfor22.2%；4patientswerehybridecho-mass,accountingfor11.1%.ColorDopplerandpulseDopplerdetectedasmallamountoralarge

6、amountofhigh-speedandlow-resistanceflowsignalsofnutrientarterywithinoraroundgestationalsacormass.ConclusionTransvaginalthree-dimensionalultrasonographyintheearlydiagnosisandtreatmentofscarpregnancy，especiallythepregnancywithpartialincision,hasasignificantclinicalvalue,whichplaysanimportantrolei

7、nguidingclinicalselectionoftreatmentprotocolsandevaluationofcurativeeffects.[Keywords]Scarpregnancy；Cesareansection；Three-dimensionalultrasonography剖宫产术后子宫瘢痕妊娠(cesareanscarpregnancy,CSP)是指孕卵、滋养叶细胞种植于既往剖宫产切口瘢痕处并在该处生长发育[1]，是一种特殊类型的异