CAJ | 학술논문

目的：探讨经腹及经阴道联合超声对剖宫产瘢痕妊娠（caesarean scar Pregnancy，CSP）诊断的临床价值，以及 CSP 的超声分型对临床个性化治疗 CSP 的指导价值。方法回顾分析河南科技大学第一附属医院超声诊断28例 CSP 住院患者声像图特征，及其保守治疗、手术治疗和病理结果及患者转归情况。结果28例均获得明确诊断，将 CSP 分四型，孕囊型6例，结节型9例，团块型8例，巨块型5例；3例孕囊型为超声及临床确诊，25例均获得病理标本，其中24例显微镜下可见绒毛组织，1例病理确诊为绒癌，诊断正确率为96.4%。结论超声早期诊断 CSP 具有重要价值，而且对 CSP 的个性化治疗具有重要指导价值。
목적：탐토경복급경음도연합초성대부궁산반흔임신（caesarean scar Pregnancy，CSP）진단적림상개치，이급 CSP 적초성분형대림상개성화치료 CSP 적지도개치。방법회고분석하남과기대학제일부속의원초성진단28례 CSP 주원환자성상도특정，급기보수치료、수술치료화병리결과급환자전귀정황。결과28례균획득명학진단，장 CSP 분사형，잉낭형6례，결절형9례，단괴형8례，거괴형5례；3례잉낭형위초성급림상학진，25례균획득병리표본，기중24례현미경하가견융모조직，1례병리학진위융암，진단정학솔위96.4%。결론초성조기진단 CSP 구유중요개치，이차대 CSP 적개성화치료구유중요지도개치。
Objective TO investigate the clinical value Of sOnOgraPhy in the diagnOsis Of cesarean scar Pregnancy(CSP)and ultrasOnOgraPhic imPOrtance fOr guiding the individual treatment Of CSP . Methods The clinical data Of 28 cases Of CSP were retrOsPectively analyzed including CSP ultrasOnic characteristics,individual clinical treatment methOds,PathOlOgic results and recOvery OutcOmes. Results The ultrasOnOgrams Of 28 cases Of CSP were characterized as fOur tyPes:sac tyPe(6 cases),nOde tyPe(9 cases),mass tyPe(8 cases),large mass tyPe(5 cases). 3 cases Of sac tyPe were ultrasOnic and clinical cOnfirmed,25 cases were cOnfirmed by PathOlOgical diagnOsis,in which chOriOn Of 24 cases were detected by micrOscOPe,1 case was chOriOcarcinOma cOnfirmed by PathOlOgical diagnOsis,the diagnOstic accuracy rate is 96. 4% . Conclusion UltrasOnOgraPhy can PrOvide imPOrtant evidence fOr early diagnOsis Of CSP,which Plays a key rOle in guiding the individual treatment Of CSP.