剖宫产术子宫瘢痕妊娠的超声图像特征分析  

Analysis of ultrasonographic imaging features of cesarean section scar pregnancy

作　　者：杨必健[1] 李灿[1] 

机构地区：[1]郴州市第一人民医院南院彩超室,423000

出　　处：《国际医药卫生导报》2009年第8期27-30,共4页International Medicine and Health Guidance News

摘　　要：目的探讨经阴道彩色多普勒超声在剖宫产子宫瘢痕妊娠诊断中的价值。方法采用经阴道彩超，对29例剖宫产术后子宫下段瘢痕妊娠患者进行检查，观察妊娠物着床的位置及与剖宫产切口的关系、子宫切口部位的回声、血流情况。结果所有患者在子宫下段切口部位可见胚囊或混合回声包块，根据超声像图特征把它们分为2种类型：（1）胚囊型20例；（2）混合回声包块型9例。结论经阴道彩超检查对剖宫产术后子宫瘢痕妊娠的诊断有着重要的价值。Objective To explore the value of transvaginal color Doppler ultrasound in the diagnosis of cesarean section scar pregnancy. Methods Twenty-nine cases in pregnancy with cesarean section scar underwent transvaginal color Doppler ultrasound. The relationship of the nidation location of gestational cyst and U-D, the echo of uterine isthmus os and splendid color Doppler flow signals were observed. Results A gestational cyst or mixed echo mass attached to the scar. There were two types as follow： mhryo-sac type （20 cases）, mixed echo mass type （9 cases）. Conclusions Transvaginal color Doppler uhrasound is highly valuable in the diagnosis of pregnancy into the cesarean section scar.

关 键 词：超声检查 多谱勒 彩色 经阴道 剖宫产术 切口瘢痕 妊娠 

分 类 号：R44[医药卫生—诊断学] R714[医药卫生—临床医学]