腔内超声检查诊断剖宫产术后瘢痕妊娠的价值  

The clinical value of intraluminal ultrasound in diagnosis of cesarean scar pregnancy

作　　者：刘滨月[1] 陈莹[1] 刘宇清[1] 陈金华[1] 黄雪兰[1] 

机构地区：[1]深圳市龙岗中心医院超声科,广东省深圳518116

出　　处：《中国基层医药》2011年第18期2487-2489,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨腔内超声诊断剖宫产瘢痕妊娠的价值。方法应用腔内超声观察剖宫产术后瘢痕妊娠患者的声像图特点和治疗效果。结果52例患者中，超声诊断45例，诊断符合率86．5％（45／52）。声像图表现为单纯妊娠囊型16例，混合回声型（或包块型）36例。52例剖宫术后子宫瘢痕妊娠患者根据其临床情况及声像图特征：2例行子宫剖腹探查术行瘢痕病灶切除子宫修补术；3例腹腔镜下清除瘢痕妊娠病灶修补子宫；6例患者予甲氨蝶呤治疗；5例开腹手术；36例行子宫动脉灌注栓塞治疗后在超声引导监视下行清宫术。结论超声检查可以对剖宫产术后切口瘢痕妊娠及时、准确作出诊断；根据患者声像图特征，有助于临床选择恰当的治疗方案，并评估疗效。Objective To investigate the diagnosis value of intracardiac echocardiography in cesarean section scar pregnancy. Methods Cavity ultrasound was applied in patients of cesarean scar pregnancy with sonographic fea- tures and treatment. Results In 52 patients, ultrasound diagnosed accurately in 45 cases, diagnosis accurate rate was 86.5% （45/52）. Sonogram showed gestational sac simply type in 16 cases, mixed echo-type （or mass-based） of 36 cases. In 52 cases of CSP, according to their clinical and sonographic features ,2 cases of uterine scar lined laparotomy and the uterus excision repair;three cases of laparoscopic removal of uterine scar pregnancy lesion repair. 6 patients to methotrexate;five cases of abdominal surgery;36 routine uterine arterial embolization in the ultrasound monitor after curettage. Conclusion Ultrasound could apply in cesarean scar pregnancy timely,and accurate diagnosis was made; sonographic features according to the patients, help choose the appropriate clinical treatment, and assess efficacy.

关 键 词：腔内超声 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]