CAJ | 학술논문

目的探讨经阴道彩色多普勒超声(TVCDS对子宫切口妊娠的诊断及鉴别诊断价值。方法回顾性分析29例子宫切口妊娠的术后结果及超声声像图特征，并对结果进行分析。结果29例输卵管间质部妊娠患者中超声正确诊断23例，准确率79.31%，误诊6例（其中误诊为宫颈部妊娠2例，不全流产2例，滋养细胞疾病1例，血凝块1例），误诊率为20.69％。按声像图表现分为单纯孕囊型、混合团块型、蜂窝型。结论经阴道彩色多普勒超声是诊断与鉴别子宫切口妊娠的一种可靠的诊断方法，具有重要的临床价值。
목적탐토경음도채색다보륵초성(TVCDS대자궁절구임신적진단급감별진단개치。방법회고성분석29례자궁절구임신적술후결과급초성성상도특정，병대결과진행분석。결과29례수란관간질부임신환자중초성정학진단23례，준학솔79.31%，오진6례（기중오진위궁경부임신2례，불전유산2례，자양세포질병1례，혈응괴1례），오진솔위20.69％。안성상도표현분위단순잉낭형、혼합단괴형、봉와형。결론경음도채색다보륵초성시진단여감별자궁절구임신적일충가고적진단방법，구유중요적림상개치。
Objective To explore the clinical value of transvaginal color doppler sonography (TVCDS) in the diagnosis and dif erential for the uterine incision pregnancy. Methods Twenty-nine cases with uterine incision pregnancy confirmed by surgery and pathology were retrospectively analyzed according to postoperative pathological diagnosis and the characteristics of TVCDS. Results Among 29 patients of uterine incision pregnancy,23 cases were accurately diagnosed,the accuracy rate was 77.4%,6 cases were misdiagnosed(including 2 cases misdiagnosed as uterine cervical pregnancy, 2 cases as incomplete abortion, one as trophoblastic disease, the rest one as blood clots), misdiagnosis rate was 20.69%.Al patients were classified into:pure gestational sac, mixed clumps type honeycomb. Conclusion TVCDS is a feasible way with important clinical value for diagnosis of uterine incision pregnancy.