论文部分内容阅读
目的探讨子宫峡部剖宫产切口部位妊娠的彩色多普勒超声声像图特点,为临床诊疗提供有价值的参考依据。方法选取2011年8月-2013年7月诊断的12例子宫峡部剖宫产切口部位妊娠的患者作为研究对象,回顾性分析其彩色多普勒超声声像图特点及临床资料。结果 12例患者中5例停经时间短、妊娠囊较小,位置完全位于子宫峡部切口处因声像图典型而确诊;3例因停经时间长、妊娠囊大部分位于宫腔内,少部分位于切口处误诊为宫内孕;2例切口妊娠流产,误诊不全流产;另外2例因院外人工流产术后阴道流血增多就诊,诊断为切口妊娠。结论彩色多普勒超声对子宫峡部剖宫产切口妊娠的诊断具有准确性、可靠性。
Objective To explore the features of color Doppler ultrasonography in the part of cesarean section at uterine isthmus, and to provide a valuable reference for clinical diagnosis and treatment. Methods From August 2011 to July 2013, 12 cases of uterine incision cesarean section pregnancy were selected as the research object, and their color Doppler ultrasonographic features and clinical data were retrospectively analyzed. Results Among the 12 patients, 5 had short menopause, small gestational sac, and the location was completely located at the incision of the isthmus. Due to the long time of menopause, most gestational sacs were located in the uterine cavity, Incision misdiagnosed as intrauterine pregnancy; 2 cases of incisional pregnancy abortion, misdiagnosis of incomplete abortion; the other 2 due to extra-hospital abortion after vaginal bleeding increased treatment, diagnosis of incisional pregnancy. Conclusion The color Doppler ultrasound in the isthmus of cesarean section incision pregnancy diagnosis accuracy and reliability.