彩色多普勒血流显像在剖宫产术后子宫瘢痕妊娠诊治中的价值  

Value of color Doppler flow imaging in diagnosis and treatment of cesarean scar pregnancy

作　　者：马新群[1] 陆娴 

机构地区：[1]南通瑞慈医院,江苏南通226010 [2]南通妇幼保健院,江苏南通226000

出　　处：《中国妇幼保健》2017年第12期2787-2790,共4页Maternal and Child Health Care of China

摘　　要：目的探讨彩色多普勒血流显像(CDFI)在剖宫产术后子宫瘢痕妊娠(CSP)诊治中的价值。方法回顾性选取2013年7月-2016年7月该院收治的45例CSP患者作为观察组,并选取同时期45例剖宫产术后正常妊娠患者作为对照组。回顾性分析两组患者相关超声指标,评估CDFI在CSP诊治中的价值。结果观察组患者肌层厚度(4.25±1.63)mm、血流阻力指数(RI)(0.51±0.25)均显著小于对照组[(8.81±2.48)mm、(0.66±0.14)],差异有统计学意义(t=10.301、3.214,P<0.05);观察组CSP患者声像学主要表现为3种类型,观察组患者均于妊娠囊周边观察到来自子宫切口肌层的血流信号;观察组患者依据肌层分级不同,分别给予不同治疗方案,最终均获得治愈。结论既往有剖宫产史孕妇需注意CSP可能,CDFI在CSP诊治中可发挥重要价值。Objective To explore the value of color Doppler flow imaging（ CDFI） in diagnosis and treatment of cesarean scar pregnancy（ CSP）. Methods Forty-five CSP patients treated in the hospital from July 2013 to July 2016 were selected retrospectively as observation group,and forty-five normal pregnant women after cesarean section during the same period were selected as control group. Ultrasoundrelated indicators of patients in the two groups were retrospectively analyzed. The value of CDFI in diagnosis and treatment of CSP was evaluated. Results The thickness of myometrium and resistance index（ RI） in observation group were（ 4. 25± 1. 63） mm and（ 0. 51± 0. 25）,respectively,which were statistically significantly lower than those in control group [（ 8. 81±2. 48） mm and（ 0. 66±0. 14） ]（ t = 10. 301,3. 214,P〈0. 05）. The main imaging manifestations of CSP patients in observation group were divided into three types,blood flow signals from muscular layer of uterine incision were observed around gestational sac in observation group; the patients in observation group were treated by different treatment regimens according to different muscle grades,then all the patients were cured. Conclusion CSP may occur in pregnant women with cesarean section history,and CDFI plays an important role in diagnosis and treatment of CSP.

关 键 词：彩色多普勒血流显像 剖宫产术后子宫瘢痕妊娠 价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]