CAJ | 학술논문

目的本文主要探讨超声在诊断剖宫产术后子宫瘢痕妊娠患者的临床诊断价值。方法随机选择2010年1月~2012年7月这一时期我院收治的40例剖宫产且术后子宫瘢痕的妊娠患者，对所有患者都进行了在B超介导下经皮子宫动脉栓塞术，迅速控制阴道出血、阻断胚胎主要血供、抑制胚胎生长，减少了清宫术的出血，避免了子宫切除，后总结这类患者的超声图像特点以及用超声对子宫动脉栓塞术的治疗疗效进行评定。结果研究结果显示，40例子宫瘢痕妊娠中有单纯妊娠囊型17例；部分位于宫腔型9例；混合回声包块型14例。超声图像显示子宫下段瘢痕处见妊娠囊或混合回声包块，CDFI显示妊娠囊或包块周边可见丰富低阻血流，通过对患者进行保守治疗1个月后，超声显示妊娠囊或包块周边血流明显减少甚至消失，阻力指数较治疗前也显著升高，P＜0.05。结论本次研究结果显示，多普勒超声检查可以清晰的显示子宫瘢痕妊娠的位置、范围、子宫肌壁的厚度以及血液供给情况等，因此，临床采用多普勒超声能十分准确、及时的对瘢痕妊娠进行早期诊断，超声技术还能动态观察瘢痕妊娠的治疗前后的病灶变化，因此超声检查技术在瘢痕妊娠的诊断、治疗中具有十分重要的意义，值得临床推广应用。
목적본문주요탐토초성재진단부궁산술후자궁반흔임신환자적림상진단개치。방법수궤선택2010년1월~2012년7월저일시기아원수치적40례부궁산차술후자궁반흔적임신환자，대소유환자도진행료재B초개도하경피자궁동맥전새술，신속공제음도출혈、조단배태주요혈공、억제배태생장，감소료청궁술적출혈，피면료자궁절제，후총결저류환자적초성도상특점이급용초성대자궁동맥전새술적치료료효진행평정。결과연구결과현시，40례자궁반흔임신중유단순임신낭형17례；부분위우궁강형9례；혼합회성포괴형14례。초성도상현시자궁하단반흔처견임신낭혹혼합회성포괴，CDFI현시임신낭혹포괴주변가견봉부저조혈류，통과대환자진행보수치료1개월후，초성현시임신낭혹포괴주변혈류명현감소심지소실，조력지수교치료전야현저승고，P＜0.05。결론본차연구결과현시，다보륵초성검사가이청석적현시자궁반흔임신적위치、범위、자궁기벽적후도이급혈액공급정황등，인차，림상채용다보륵초성능십분준학、급시적대반흔임신진행조기진단，초성기술환능동태관찰반흔임신적치료전후적병조변화，인차초성검사기술재반흔임신적진단、치료중구유십분중요적의의，치득림상추엄응용。
Objective This paper mainly discusses the ultrasound in the diagnosis of uterine cesarean section scar pregnancy patients clinical diagnostic value. Methods random selection from January 2010 to July 2012 to our this period were forty cases of cesarean section and postoperative uterine scar pregnancy patients as the research object, to al patients in B super mediated with percutaneous uterine artery embolization, quickly control vaginal bleeding, blocking the embryonic major blood supply and inhibition of embryonic growth, reduce the bleeding in the qing dynasty palace operation, to avoid the hysterectomy, summarize these patients after the ultrasonic image characteristics and the use of ultrasonography in uterine artery embolization in the treatment of curative ef ect was evaluated. Results the results showed that, forty cases of uterine scar pregnancy has simple gestational sac type 17 cases; Partly in uterine cavity type 9 cases;Mixed echo bag piece type 14 cases. Ultrasonic image display lower uterine segment scar place see pregnancy capsule or mixed echo bag piece, CDFI showed pregnancy capsule or bag piece perimeter visible rich blood flow through the low resistance, patients with conservative treatment after January, ultrasonic display gestational sac or bag piece of peripheral blood flow significantly reduced or even disappear, resistance index was also significantly increased before treatment, P<0.05. Conclusion the results showed that doppler ultrasound can clearly show the location of the uterine scar pregnancy, scope, uterine muscle wal thickness and blood supply, therefore, clinical use doppler ultrasonography can very accurate, timely to scar pregnancy for early diagnosis, ultrasonic technology can also dynamic observation scar pregnancy before and after treatment of the focus of the change, so ultrasonic inspection technology in scar pregnancy diagnosis, treatment in a very important meaning, it is worth clinical application.