CAJ | 학술논문

目的：探讨彩色多普勒超声监测宫腔镜下剖宫产子宫瘢痕妊娠病灶清除术的临床价值。方法回顾性分析1999年1月至2012年12月汕头市第二人民医院在彩色多普勒超声监测宫腔镜下剖宫产子宫瘢痕妊娠病灶清除术的8例患者的临床资料。结果术前8例剖宫产子宫瘢痕妊娠患者彩色多普勒超声均表现为子宫下段前壁剖宫产瘢痕处混合性包块，在彩色多普勒超声监测宫腔镜下病灶清除术保守治疗成功，术中出血少。结论彩色多普勒超声是诊断剖宫产子宫瘢痕妊娠的主要方法。彩色多普勒超声监测宫腔镜下剖宫产子宫瘢痕妊娠病灶清除术，能够明显缩短手术时间，减少盲目性，保证了宫腔镜手术安全，具有很重要的临床实用价值。
목적：탐토채색다보륵초성감측궁강경하부궁산자궁반흔임신병조청제술적림상개치。방법회고성분석1999년1월지2012년12월산두시제이인민의원재채색다보륵초성감측궁강경하부궁산자궁반흔임신병조청제술적8례환자적림상자료。결과술전8례부궁산자궁반흔임신환자채색다보륵초성균표현위자궁하단전벽부궁산반흔처혼합성포괴，재채색다보륵초성감측궁강경하병조청제술보수치료성공，술중출혈소。결론채색다보륵초성시진단부궁산자궁반흔임신적주요방법。채색다보륵초성감측궁강경하부궁산자궁반흔임신병조청제술，능구명현축단수술시간，감소맹목성，보증료궁강경수술안전，구유흔중요적림상실용개치。
Objective To investigate the clinical value of color Doppler ultrasound on monitoring the hysteroscopic previous caesarean section scar pregnancy debridement. Methods From January 1999 to December 2012,the clinical data of 8 patients with previous caesarean section scar pregnancy debride-ment under color Doppler ultrasound monitoring in the second people’s hospital of Shantou were retro-spectively analyzed. Results Preoperative color Doppler ultrasound of the 8 patients with previous caesar-ean section scar pregnancy showed mixed mass at the cesarean section scar in lower uterine segment anterior wall. Hysteroscopic conservative treatment for debridement was successful by color Doppler ultrasound mo-nitoring,and the blood loss was less. Conclusions Color Doppler ultrasound is the main method for diag-nosis of previous caesarean section scar pregnancy. Color Doppler ultrasound in monitoring the hysteroscop-ic debridement of previous caesarean section scar pregnancy,can obviously shorten the operation time,re-duce blindness,ensure the safety of hysteroscopic surgery,and has very important clinical value.