MRI对剖宫产瘢痕妊娠的诊断价值  

Diagnostic Value of MRI on Cesarean Scar Pregnancy

作　　者：明建中[1] 钟文新[1] 沈比先[1] 相呈县[1] 楚二伟[1] 保莲[1] 黄岸容[1] 

机构地区：[1]广东医学院附属南山医院放射科,518052

出　　处：《临床放射学杂志》2012年第7期996-998,共3页Journal of Clinical Radiology

摘　　要：目的探讨MRI诊断剖宫产后瘢痕妊娠(cesarean scar pregnancy,CSP)的价值。方法回顾性分析2008年1月至2011年9月间经MRI诊断为CSP的23例患者的MR图像特征及术后结果。结果 23例CSP患者全部行手术治疗,MRI正确诊断20例,准确率86.96%(20/23)。误诊3例(宫颈妊娠1例、滋养细胞疾病1例、不全流产1例)。典型MRI图像表现为孕囊型、混合包块型。结论 MRI是诊断CSP的有效手段,能较好地反映CSP病理学特点,为临床诊断和治疗提供重要影像学依据。Objective To investigate the value of MR in the diagnosis of cesarean scar pregnancy （csp）. Methods The MRI data of 23 patients with cesarean scar pregnancy were retrospectively analyzed and compared with postoperative pathological features from Jan 2008 to Sep 2011. Results Among 23 patients with cesarean scar pregnancy, MR definitely diagnosed 20 cases and misdiagnnsed 3 cases （ l case as cervix pregnancy, 1 case as trophoblastic disease, 1 case as incom- plete abortion） , the diagnostic accuracy of MRI was 86.96%. Typical MR features with CSP included two types： Gesta- tional sac and mixed masses. Conclusion MRI is useful in diagnosis of cesarean scar pregnancy, which can reflect pa- thology of cesarean scar pregnancy.

关 键 词：剖宫产瘢痕妊娠 磁共振成像 诊断 

分 类 号：R714.22[医药卫生—妇产科学]