CAJ | 학술논문

　　目的提高剖宫产后瘢痕妊娠的超声表现的认识。方法分析5例经临床证实的剖宫产术后瘢痕妊娠的超声特点，观察妊娠囊位置、大小、内部结构及血流情况，局部子宫前壁的厚度等，并追踪观察临床治疗后声像图的变化。结果5例剖宫产术后瘢痕妊娠病例宫腔及宫颈管内均未见孕囊，子宫下段前壁内见孕囊或包块。其中3例孕囊型，见妊娠囊，2例示包块型，子宫下段宫腔及前壁疤痕处杂乱光团，周围宫壁血流信号丰富。结论超声对瘢痕妊娠的诊断具有非常重要的临床使用价值。
　　목적제고부궁산후반흔임신적초성표현적인식。방법분석5례경림상증실적부궁산술후반흔임신적초성특점，관찰임신낭위치、대소、내부결구급혈류정황，국부자궁전벽적후도등，병추종관찰림상치료후성상도적변화。결과5례부궁산술후반흔임신병례궁강급궁경관내균미견잉낭，자궁하단전벽내견잉낭혹포괴。기중3례잉낭형，견임신낭，2례시포괴형，자궁하단궁강급전벽파흔처잡란광단，주위궁벽혈류신호봉부。결론초성대반흔임신적진단구유비상중요적림상사용개치。
Objective To improve the understanding of the ultrasound performance of cesarean section scar pregnancy. Methods To analysis ultrasound features of 5 cases patients of cesarean scar pregnancy. Observation gestational sac location, size, internal structure and blood flow, as wel as the partial anterior uterine thickness. And dynamic observation of clinical sonographic changes. Results 5 cases of cesarean section scar pregnancy cases of uterine and cervical canal showed no gestational sac, but see in the lower uterine segment anterior wal of the gestational sac or mass. Including three cases of gestational sac type, see the gestational sac. 2 cases of mass type,to find in the lower uterine cavity and anterior wal scar messy echogenic mass, rich blood flow signals around the wal of the uterus. Conclusion Ultrasound has a very important clinical value to diagnose the cesarean scar pregnancy .