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目的探讨经阴道三维彩色超声在剖宫产瘢痕妊娠的应用价值。方法回顾性分析41例经阴道三维彩色超声诊断剖宫产瘢痕妊娠的患者,均经临床手术及病理证实,分析其经阴道三维彩色多普勒的超声声像图表现。结果 41例瘢痕妊娠按声像特点分为3种:切口处孕囊型17例;宫腔内孕囊型11例,1例漏诊;包块型13例,1例误诊。结论经三维彩色超声更准确地诊断剖宫产瘢痕妊娠,给临床选择治疗方式依据提供更可靠信息,具有重要的价值。
Objective To investigate the value of transvaginal three-dimensional color ultrasound in cesarean scar pregnancy. Methods Retrospective analysis of 41 cases of cesarean scar pregnancy diagnosed by transvaginal three-dimensional color ultrasound were confirmed by clinical surgery and pathology. Transvaginal three-dimensional color Doppler ultrasound ultrasonography was performed. Results 41 cases of scar pregnancy according to the characteristics of the panache were divided into three types: incision gestational sac type in 17 cases; intrauterine gestational sac type in 11 cases, 1 case missed diagnosis; mass in 13 cases, 1 case misdiagnosed. Conclusion The three-dimensional color ultrasound more accurate diagnosis of cesarean scar pregnancy, to provide more reliable information based on the clinical choice of treatment has important value.