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目的:研究超声检查在剖宫产后再次妊娠的诊断思路及临床应用。方法:选取本院近两年来剖宫产后再次妊娠的孕妇560例,经超声检查确认其孕囊着床位置及胎盘附着部位,从而判断剖宫产后再次妊娠的高危人群。结果:本组共筛查出早孕期胚胎停止发育4例,中晚妊期并发症胎儿死亡2例,胎儿畸形3例,孕囊着床于子宫下段13例,含一例早孕期瘢痕妊娠及7例胎盘低置及前置,而后者在产前仍有3例前置胎盘,一例为胎盘植入。结论:超声检查对剖宫产后再次妊娠具有非常重要的筛查价值,且操作安全简便无痛苦,临床价值显著。
Objective: To study the diagnostic ideas and clinical application of ultrasound in re-pregnancy after cesarean section. Methods: Five hundred and fifty-five pregnant women who were re-pregnant after cesarean section were selected in our hospital in the past two years. The gestational sac placement and the placenta attachment site were confirmed by ultrasonography to determine the high risk of re-pregnancy after cesarean section. Results: In this study, 4 cases of embryo stop development in early pregnancy were identified, 2 cases of fetal death in late pregnancy complications, 3 cases of fetal malformations, gestational sac implantation in 13 cases of lower uterine segment, including one case of early pregnancy scar pregnancy and 7 Cases of low placenta previa and front, while the latter in the prenatal still 3 cases of placenta previa, one case of placenta accreta. Conclusion: Ultrasonography has important screening value for the second pregnancy after cesarean section, and is safe and easy to operate with no pain. The clinical value is significant.