论文部分内容阅读
目的探讨经阴道三维超声在剖宫产子宫切口瘢痕妊娠(CSP)中的临床应用价值。方法回顾性分析13例CSP患者的三维超声检查结果及临床资料。结果孕囊或包块位于子宫前壁下段瘢痕处肌层内者2例,部分伸入瘢痕者4例,剖宫产瘢痕上方的下段宫腔内者7例。结论 CSP多发生在多次剖宫产史的育龄妇女,早期可经阴道超声诊断,超声通过观测妊娠物与瘢痕的位置关系及瘢痕血流分布等情况,对瘢痕妊娠的诊断、治疗方面具有重要作用。
Objective To investigate the clinical value of transvaginal three-dimensional ultrasound in cesarean section scar pregnancy (CSP). Methods The results of three-dimensional ultrasonography and clinical data of 13 CSP patients were retrospectively analyzed. Results The gestational sac or mass was located in the lower part of the anterior wall of the uterus in the muscle of the scars in 2 cases, part of the sclerosis in 4 cases, cesarean section scar above the lower part of the intrauterine in 7 cases. Conclusions CSP often occurs in women of childbearing age who have multiple cesarean births, which can be diagnosed early by transvaginal sonography. Ultrasound is important in the diagnosis and treatment of scar pregnancy by observing the relationship between pregnancy and scar and the distribution of scar blood flow effect.