CAJ | 학술논문

目的：探讨经阴道彩超扫查对剖宫产术后子宫下段瘢痕妊娠（ CSP）的诊断价值。方法回顾性分析2010年1月～2013年12月经阴道彩超扫查的剖宫产术后CSP 18例临床资料，并与手术病理诊断结果进行比较，探讨其诊断符合率。结果经阴道彩超明确诊断为CSP 16例，未明确诊断1例，误诊1例，诊断符合率88.89％（16/18）；手术病理诊断为CSP 18例，诊断符合率100.00％（18/18），二者的诊断符合率无统计学差异（p＞0.05）。结论经阴道彩超扫查能清晰显示孕囊着床部位与子宫下段瘢痕的关系，以及子宫下段瘢痕处肌层的厚度＼血流分布等情况，诊断符合率高，是剖宫产术后子宫下段瘢痕妊娠首选的扫查方法。
목적：탐토경음도채초소사대부궁산술후자궁하단반흔임신（ CSP）적진단개치。방법회고성분석2010년1월～2013년12월경음도채초소사적부궁산술후CSP 18례림상자료，병여수술병리진단결과진행비교，탐토기진단부합솔。결과경음도채초명학진단위CSP 16례，미명학진단1례，오진1례，진단부합솔88.89％（16/18）；수술병리진단위CSP 18례，진단부합솔100.00％（18/18），이자적진단부합솔무통계학차이（p＞0.05）。결론경음도채초소사능청석현시잉낭착상부위여자궁하단반흔적관계，이급자궁하단반흔처기층적후도＼혈류분포등정황，진단부합솔고，시부궁산술후자궁하단반흔임신수선적소사방법。
Objective To evaluate the diagnostic value of transvaginal ultrasound scanning for the lower caesarean scar pregnancy (CSP) after cesarean section.Methods A retrospective analysis was conducted for 18 cases of CSP patients with transvaginal ultrasound scanning in our department from January 2010 to December 2013 after cesarean section, to com-pare the surgical pathology results,to explore the diagnosis accordance rate.Results Transvaginal ultrasound diagnosed 16 CSP cases, except one case of un -definite diagnosis and one case of misdiagnosis, with diagnosis accordance rate of 88.89% (16/18); surgical pathology diagnosed 18 CSP cases, with diagnosis accordance rate of 100.00% (18/18), which had no significant difference ( p >0.05 ) .Conclusion Transvaginal ultrasound scanning can clearly show the relation be-tween gestational sac implantation site and lower caesarean scar, the muscle thickness of lower caesarean scar, and the blood flow distribution, with high diagnosis accordance rate, which is the preferred scanning method for the lower caesarean scar pregnancy after cesarean section.