中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
20期
118-119
,共2页
经阴道超声%剖宫产瘢痕%异位妊娠
經陰道超聲%剖宮產瘢痕%異位妊娠
경음도초성%부궁산반흔%이위임신
Transvaginal ultrasound%Cesarean scar%Ectopic pregnancy
目的：分析剖宫产瘢痕部位妊娠的超声声像图特征，探讨超声对剖宫产瘢痕部位妊娠的诊断价值。方法：收治剖宫产瘢痕部位妊娠患者46例，对其临床资料及超声检查结果进行回顾性分析。结果：经腹、经阴道超声显示率分别为71.7%(33/46)、84.9%(39/46)，46例患者的超声诊断结果有41例与临床确定诊断结果相符，其中孕囊型24例，不均团块型17例，误诊5例，诊断准确率89.1%(41/46)。结论：经腹及经阴道超声联合应用能提高剖宫产瘢痕诊断符合率，并能给临床治疗方式的选择提供指导意见。
目的：分析剖宮產瘢痕部位妊娠的超聲聲像圖特徵，探討超聲對剖宮產瘢痕部位妊娠的診斷價值。方法：收治剖宮產瘢痕部位妊娠患者46例，對其臨床資料及超聲檢查結果進行迴顧性分析。結果：經腹、經陰道超聲顯示率分彆為71.7%(33/46)、84.9%(39/46)，46例患者的超聲診斷結果有41例與臨床確定診斷結果相符，其中孕囊型24例，不均糰塊型17例，誤診5例，診斷準確率89.1%(41/46)。結論：經腹及經陰道超聲聯閤應用能提高剖宮產瘢痕診斷符閤率，併能給臨床治療方式的選擇提供指導意見。
목적：분석부궁산반흔부위임신적초성성상도특정，탐토초성대부궁산반흔부위임신적진단개치。방법：수치부궁산반흔부위임신환자46례，대기림상자료급초성검사결과진행회고성분석。결과：경복、경음도초성현시솔분별위71.7%(33/46)、84.9%(39/46)，46례환자적초성진단결과유41례여림상학정진단결과상부，기중잉낭형24례，불균단괴형17례，오진5례，진단준학솔89.1%(41/46)。결론：경복급경음도초성연합응용능제고부궁산반흔진단부합솔，병능급림상치료방식적선택제공지도의견。
Objective:To analyze the ultrasonographic features of cesarean scar pregnancy,and to evaluate the diagnostic value of ultrasound on pregnancy in cesarean section scar.Methods:46 cases with cesarean scar pregnancy were selected.We retrospectively analyzed the clinical data and ultrasound examination results of them.Results:The transabdominal,transvaginal ultrasound display rates were 71.7%(33/46) and 84.9%(39/46) respectively.In the diagnosis results of 46 cases,41 cases were consistent with clinical diagnosis results,including the gestational sac type in 24 cases,not all mass type in 17 cases,and 5 cases were misdiagnosed.The accuracy rate of diagnosis was 89.1%(41/46).Conclusion:The united application of transabdominal and transvaginal ultrasound can improve the coincidence rate of cesarean scar diagnosis,and can provide guidance for clinical treatment options.
