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目的:研究并观察腔内彩超诊断剖宫产术后子宫下段早期瘢痕妊娠的临床表现,评价其应用价值,给临床诊断提供重要依据,使患者早日接受治疗。方法:采取回顾性研究方法,选取在我院2012年9月到2014年11月之间进行腔内彩超治疗的100名患者,随机选取40例作为临床研究的案例,对患者的子宫以及附近区域进行常规检查,对患者的宫颈情况、子宫切口、妊娠位置、切口部位回声以及流血情况进行详细的观察,并且比较随访结果以及腔内彩超治疗的结果。结果:40例患者中经过腔内彩超诊断未发现孕囊,根据彩超声像图特征在子宫切口部位发现胚囊型17例,回声包块型21例,有2例被误诊为宫内妊娠,其腔内彩超正确诊断率是98.56%、特异度是21.12%、胚囊的正确诊断率是93.58%。结论:对腔内彩超诊断剖宫产术后子宫下段早期瘢痕妊娠的临床观察有着重要作用以及价值,有利于保证患者的生命安全[1]。
OBJECTIVE: To study and observe the clinical manifestations of intracavitary ultrasound diagnosis of early stage uterine segment scar pregnancy after cesarean section, evaluate its application value, provide an important basis for clinical diagnosis and enable patients to receive early treatment. Methods: A retrospective study was conducted to select 100 patients who underwent endoscopic ultrasonography in our hospital from September 2012 to November 2014. Forty cases were randomly selected as the clinical study cases. The patients’ uterus and the surrounding area The routine examination was conducted to observe the patient’s cervical condition, uterine incision, pregnancy position, echo at the incision site and bloodshed. The follow-up results and the results of endoscopic ultrasonography were compared. Results: There were no gestational sacs diagnosed in 40 patients by intracardiac color Doppler ultrasound. According to the features of color ultrasonography, 17 embryo sac types and 21 echogenic masses were found in the uterine incision site. Two cases were misdiagnosed as intrauterine pregnancy, The correct diagnostic rate of intracavitary ultrasound was 98.56%, specificity was 21.12%, the correct diagnosis rate of embryo sac was 93.58%. Conclusion: The clinical observation of intracavitary color Doppler ultrasonography in diagnosing early stage of uterine segment scar after cesarean section has an important role and value in helping to ensure the patient’s life safety [1].