论文部分内容阅读
目的探讨经阴道彩色多普勒超声诊断子宫瘢痕部位妊娠的价值。方法对2008年6月至2011年12月住院治疗的13例子宫瘢痕部位妊娠的超声声像图进行回顾性分析。结果 13例经阴道超声检查,提示子宫瘢痕部位妊娠12例,1例初诊漏诊,经复查确诊。声像图表现:3例不规则孕囊型,10例为不均匀混合团块型;所有病例子宫下段瘢痕部位肌壁菲薄,5例仅见浆膜层连续,8例瘢痕部位肌壁厚约2.1～3.5mm。彩色多普勒显示其内部及周边丰富血流信号,脉冲多普勒呈高速低阻型频谱。保守治疗成功10例,手术治疗3例。结论经阴道彩色多普勒超声是诊断子宫瘢痕部位妊娠的最佳检查方法之,并为临床治疗提供帮助。
Objective To investigate the value of transvaginal color Doppler ultrasound in the diagnosis of uterine scar pregnancy. Methods The echocardiography of 13 cases of uterine scar pregnancy was retrospectively analyzed from June 2008 to December 2011 in hospital. Results 13 cases of transvaginal ultrasonography showed that 12 cases of uterine scar pregnancy, 1 case of missed diagnosis, confirmed by review. Ultrasonography showed irregular gestational sac in 3 cases and inhomogeneous mixed lump in 10 cases. In all cases, the muscularis propria was scarred in the lower part of the uterus. Serum was only found in 5 cases, serosal thickness in 8 cases was about 2.1 ~ 3.5mm. Color Doppler shows its internal and peripheral rich blood flow signal, pulse Doppler was high-speed low-resistance spectrum. Conservative treatment was successful in 10 cases, 3 cases of surgical treatment. Conclusion Transvaginal color Doppler ultrasonography is the best method for the diagnosis of uterine scar pregnancy, and it is helpful for clinical treatment.