CAJ | 학술논문

目的：探讨剖宫产术后子宫瘢痕妊娠的阴道超声图像特征及诊断价值。方法选取80例剖宫产术后子宫瘢痕妊娠的患者为研究对象，该组患者均经手术病理及保守治疗所证实，并经腹超声及经阴道超声诊断，总结剖宫产术后子宫瘢痕妊娠的超声声像学特点及对治疗的辅助价值。结果超声诊断符合率为93．75％，根据声像图特点分为三型：胚囊型29例，团块型31例，滋养细胞疾病型20例。治愈的患者妊娠囊或包块周边血流明显减少或消失，阻力指数较治疗前显著升高，P＜0．05。结论超声可早期诊断剖宫产术后子宫瘢痕妊娠，有助于临床选择合理的治疗方案，并动态观察治疗效果，具有较高的临床价值。
목적：탐토부궁산술후자궁반흔임신적음도초성도상특정급진단개치。방법선취80례부궁산술후자궁반흔임신적환자위연구대상，해조환자균경수술병리급보수치료소증실，병경복초성급경음도초성진단，총결부궁산술후자궁반흔임신적초성성상학특점급대치료적보조개치。결과초성진단부합솔위93．75％，근거성상도특점분위삼형：배낭형29례，단괴형31례，자양세포질병형20례。치유적환자임신낭혹포괴주변혈류명현감소혹소실，조력지수교치료전현저승고，P＜0．05。결론초성가조기진단부궁산술후자궁반흔임신，유조우림상선택합리적치료방안，병동태관찰치료효과，구유교고적림상개치。
purpose To explore the value of ultrasound image features and diagnosis of cesarean scar pregnancy after cesarean section.Method Method:80 patients with uterine scar preg-nancy after cesarean section as the research object,this group of patients were treated by conservative treatment of operation and confirmed by pathology,and transabdominal ultrasound and trans-vaginal ultrasound diagnosis,summarizes the ultrasonographic uterine scar pregnancy after cesarean section features and value of the treatment.Result Ultrasound diagnosis coincidence rate is 93. 75%,according to the sonographic features were divided into three types:29 cases of embryo mass type in 31 cases,20 cases of gestational trophoblastic disease type.Cure patients of gestational sac or around the mass flow decreased or disappeared,the resistance index was significantly higher than that before treatment,P<0.05.Conclusion Ultrasound diagnosis of uterine scar pregnancy after cesarean section,the treatment scheme is helpful for the clinical reasonable,and dynamic observation and treatment ef ect,with a high clinical value.