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目的分析经阴道彩色多普勒在剖宫产术后子宫下段瘢痕妊娠诊断及治疗中的应用价值。方法选择在医院就诊的剖宫产术后子宫下段瘢痕妊娠25例,对其均进行经阴道彩色多普勒超声检查,运用统计学分析产妇的临床治疗效果。结果经阴道彩色多普勒超声显示孕囊型19例,团块型6例。其中有12例患者行超声引导下病灶穿刺药物注射治疗,8例行宫腔镜下病灶清除术及清宫术,5例行子宫动脉栓塞化疗后宫腔镜治疗。所有患者均手术成功,病灶消失,子宫恢复正常大小,且血β人绒毛膜促性腺激素(β-h CG)水平恢复正常范围。结论经阴道彩色多普勒在剖宫产术后子宫下段瘢痕妊娠诊断及治疗中具有十分重要的应用价值,为临床医师制定治疗方案提供了可靠的依据。
Objective To analyze the value of transvaginal color Doppler in the diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods 25 cases of uterine scar pregnancy after cesarean section were selected in the hospital. Transvaginal color Doppler ultrasonography was performed on them. The clinical effect of maternal treatment was analyzed by statistics. Results Transvaginal color Doppler ultrasound showed gestational sac in 19 cases and mass in 6 cases. Among them, 12 patients underwent ultrasound-guided lesion puncture drug injection treatment, 8 underwent hysteroscopic debridement and curettage, and 5 underwent hysteroscopic treatment after uterine artery embolization and chemotherapy. All patients were operated successfully, the lesions disappeared, the uterus returned to normal size, and the serum β-hCG level returned to normal range. Conclusion Transvaginal color Doppler ultrasound in cesarean section after uterine scar pregnancy diagnosis and treatment has a very important value for clinicians to develop treatment programs provide a reliable basis.