腔内彩色多普勒超声在剖宫产术后子宫下段切口妊娠诊断中的应用  

Application of transvaginal color Doppler ultrasonography in diagnosis of pregnancy at incision of lower segment cesarean section

作　　者：刘晞[1] 刘芳荪[1] 刘东[1] 

机构地区：[1]上海交通大学医学院附属仁济医院妇产科,上海200127

出　　处：《上海交通大学学报（医学版）》2011年第8期1208-1211,共4页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的探讨腔内彩色多普勒超声在剖宫产术后子宫下段切口妊娠诊断中的应用价值。方法收集34例剖宫产后子宫下段切口妊娠患者的临床资料,分析其腔内彩色多普勒超声声像图特征,主要观察子宫前壁峡部的异常回声,了解其形态、大小、与切口的关系及局部血流情况。结果 34例均经腔内彩色多普勒超声检查明确诊断;其中20例显示子宫前壁下段切口处见孕囊,14例显示子宫前壁下段混合回声区。结论腔内彩色多普勒超声检查是早期诊断子宫下段剖宫产切口妊娠的有效方法。Objective To investigate the application of transvaginal color Doppler ultrasonography in the diagnosis of pregnancy at the incision of lower segment cesarean section. Methods The clinical data of 34 patients with pregnancy at the incision of lower segment cesarean section were collected.The imaging characteristics of transvaginal color Doppler ultrasonography was analysed.The abnormal echoes of the isthmus of anterior wall of the uterus were observed,and the relationship among its shape,size,incision and local blood flow was explored. Results The diagnosis of all the 34 patients were confirmed by transvaginal color Doppler ultrasonography.In 20 patients,the yolk sacs were detected at the incision of lower segment cesarean section of the anterior wall of the uterus,and hybrid echoes were observed on lower part of uterus in the other 14 patients. Conclusion Transvaginal color Doppler ultrasonography is a very effective method for diagnosis of pregnancy at the incision of lower segment cesarean section.

关 键 词：腔内超声 彩色多普勒超声 剖宫产切口 妊娠 

分 类 号：R714.22[医药卫生—妇产科学]