磁共振在诊治剖宫产子宫疤痕妊娠中的价值  

Diagnostic Value of Cesarean Scar Pregnancy by Magnetic Resonance Imaging

作　　者：孟砺实 严建春[1] 郑君[1] 蔡成君[1] 

机构地区：[1]江苏大学附属四院(镇江市第四人民医院)影像科,江苏镇江212001

出　　处：《中国CT和MRI杂志》2015年第6期62-64,F0002,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨剖宫产后子宫切口瘢痕妊娠的MRI影像学特点。方法经手术或病理证实瘢痕妊娠患者25例,回顾性分析MRI及临床资料,总结其MRI影像特征。结果25例中有7例呈囊状信号特征,18例表现为混杂信号包块影;25例中有3例较小妊娠囊完全位于瘢痕区子宫肌层,6例向宫腔内生长,16例向子宫前壁肌层浸润生长并向宫腔内生长,局部子宫峡部前壁明显变薄;25例疤痕妊娠患者,18例先药物治疗,再在超声监测下行清宫术,5例先行子宫动脉栓塞术,然后行清宫术,另外2例采用腔镜下子宫切开取胚术。结论MRI能为临床治疗方案的选择提供重要的参考价值。Objective To analyze the magnetic resonance imaging（MRI ）features of cesarean scar pregnancy（CSP）.Methods The MRI features 25 patients with CSP confirmed by clinic and pathology after cesarean section were retrospectively analyzed.Results All gestational sacs of the 25 CSP patients were clearly demonstrated on MRI.The gestational sacs were cystic（7/25） or heterogeneous（18/25）,located within the uterine cavity （6/25） or deeply implanted in the scar（19/25）.Suction and curettage were performd in 18/25, uterine artery embolization in 5/25 and laparoscopic operation in 2/25.Conclusion CSP has its unique findings on MRI, these specific features can provide useful information in the management of CSP.

关 键 词：剖宫产术 瘢痕妊娠 磁共振成像 

分 类 号：R711[医药卫生—妇产科学] R445.2[医药卫生—临床医学]