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患者,女,27岁,G7P2,两次剖宫产史。停经48d,阴道少量流血6d,量增加1d,血HCG 59 987.4IU/mL。超声见:宫腔中下份双孕囊,呈右前左后排列(图1),内分别查见长约0.5cm及0.4cm的胎芽,均见原始心管搏动。双孕囊下缘均突向剖宫产瘢痕处,该处肌壁最薄处厚约0.22cm,彩色多普勒示该处血流信号丰富(图2),阻力指数=0.65。超声诊断:宫腔下段双孕囊(疑剖宫产瘢痕妊娠)。患者行双侧子宫动脉栓塞术后给予甲氨蝶呤(MTX)杀胚治疗。血
Patient, female, 27 years old, G7P2, twice cesarean section. Menopause 48d, a small amount of vaginal bleeding 6d, the amount of increase 1d, blood HCG 59 987.4IU / mL. Ultrasound see: uterine cavity in the next double gestational sac, right front left rear (Figure 1), respectively, were found in about 0.5cm and 0.4cm of fetal buds were seen in the original cardiac beat. The lower edge of the two gestational sac protrude to cesarean scar, where the thinnest wall thickness of about 0.22cm, color Doppler flow signals rich here (Figure 2), resistance index = 0.65. Ultrasound diagnosis: the lower uterine double sac (suspected cesarean scar pregnancy). Patients underwent bilateral uterine artery embolization given methotrexate (MTX) kill embryo treatment. blood