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目的:探讨彩色多普勒阴超在剖宫产术后子宫下段切口处早期妊娠中的临床诊断。方法:阴道超声及彩色多普勒对12例剖宫产术后子宫下段切口处早期妊娠的超声二维声像图、血流及血流频谱做回顾性分析。结果:12例剖宫产术后子宫下段切口处早期妊娠的病例中,单纯孕囊型7例,不均质团块型5例,误诊2例,超声诊断率83.3%。误诊率16.7%。结论:彩色多普勒阴超检查是诊断子宫下段切口处早期妊娠的首选和最佳方法。
Objective: To investigate the clinical diagnosis of early pregnancy by color Doppler ultrasonography in the lower uterine incision after cesarean section. Methods: Vaginal ultrasound and color Doppler were used to analyze the two-dimensional ultrasonography, blood flow and blood flow spectrum of 12 cases of early pregnancy after cesarean section incision. Results: In the 12 cases of early pregnancy after cesarean section incision, only gestational sac type in 7 cases, heterogeneous mass in 5 cases, misdiagnosis in 2 cases, the diagnostic rate of 83.3%. Misdiagnosis rate of 16.7%. Conclusion: Color Doppler ultrasonography is the preferred and best method to diagnose early pregnancy at the lower uterine incision.