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目的:探讨经阴道彩色超声及三维阴道超声对子宫下段切口妊娠(sal~an sear pregnancy,CSP)的早期诊断方法及图像表现。方法:采用经阴道超声检查2013年7月至2014年7月本院接诊的36例剖宫产术后子宫切口妊娠的患者,回顾性分析36例子宫下段切口妊娠的超声声像图特征。结果:36例切口妊娠中,典型超声声像图表现为孕囊型(分为空胚囊,见卵黄囊及见胚芽三种类型)、混合回声包块型、蜂窝型三种类型。结论:经阴道彩超检查是诊断子宫切口妊娠的首选和最佳方法,值得临床应用。
Objective: To investigate the early diagnosis and imaging manifestations of the pregnant women with Cesarean section underwent transvaginal sonography and three-dimensional vaginal sonography. Methods: Transvaginal sonography was performed in 36 patients with uterine incision pregnancy after cesarean section admitted from July 2013 to July 2014 in our hospital. The echographic features of 36 cases of uterine incision pregnancy were retrospectively analyzed. Results: In 36 cases of incisional pregnancy, typical ultrasonography showed gestational sac type (divided into empty embryo sac, yolk sac and see germ), mixed echo mass type and honeycomb type. Conclusion: Transvaginal ultrasound is the first choice and the best method to diagnose uterine incision pregnancy, which is worthy of clinical application.