当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
24期
22-23
,共2页
疤痕妊娠%超声检查%MTX%诊断和治疗
疤痕妊娠%超聲檢查%MTX%診斷和治療
파흔임신%초성검사%MTX%진단화치료
CSP%Ultrasonography%MTX%Diagnosis and treatment
目的：探讨超声在剖宫产疤痕妊娠（cesarean scar pregnancy, CSP）诊断与治疗中的价值。方法回顾性分析35例CSP声像图特征；在超声引导下，对32例确诊的疤痕处妊娠囊进行抽吸并局部注射甲氨蝶呤（methotrexate, MTX），观察妊娠囊治疗前后的声像图变化。结果 CSP具有较典型的声像图特征，超声诊断符合率为91.4%（32/35），1例误诊为宫颈妊娠，2例误诊为自然流产；超声引导下32例疤痕处妊娠囊局部注射MTX均顺利成功；妊娠囊治疗前后有较明显的变化；所有病例保守治疗以后痊愈出院。结论超声在CSP的诊断和治疗中有重要的价值。
目的：探討超聲在剖宮產疤痕妊娠（cesarean scar pregnancy, CSP）診斷與治療中的價值。方法迴顧性分析35例CSP聲像圖特徵；在超聲引導下，對32例確診的疤痕處妊娠囊進行抽吸併跼部註射甲氨蝶呤（methotrexate, MTX），觀察妊娠囊治療前後的聲像圖變化。結果 CSP具有較典型的聲像圖特徵，超聲診斷符閤率為91.4%（32/35），1例誤診為宮頸妊娠，2例誤診為自然流產；超聲引導下32例疤痕處妊娠囊跼部註射MTX均順利成功；妊娠囊治療前後有較明顯的變化；所有病例保守治療以後痊愈齣院。結論超聲在CSP的診斷和治療中有重要的價值。
목적：탐토초성재부궁산파흔임신（cesarean scar pregnancy, CSP）진단여치료중적개치。방법회고성분석35례CSP성상도특정；재초성인도하，대32례학진적파흔처임신낭진행추흡병국부주사갑안접령（methotrexate, MTX），관찰임신낭치료전후적성상도변화。결과 CSP구유교전형적성상도특정，초성진단부합솔위91.4%（32/35），1례오진위궁경임신，2례오진위자연유산；초성인도하32례파흔처임신낭국부주사MTX균순리성공；임신낭치료전후유교명현적변화；소유병례보수치료이후전유출원。결론초성재CSP적진단화치료중유중요적개치。
Objective To investigate the value of ultrasonography in the diagnosis and treatment of cesarean scar pregnancy(CSP).Methods The sonograms of 35 patients with CSP were retrospectively analyzed. Under ultrasound guidance, 32 cases of gestational sac of CSP which had correctly diagnosed had aspiration and local injection of methotrexate (MTX), being observed the gestational sac sonographic changes before and after treatment.Results CSP has typical sonographic features. The diagnosis coincidence rate was 91.4% (32/35). One case was misdiagnosed as cervical pregnancy, and two cases were misdiagnosed as spontaneous abortion; Under ultrasound guidance, 32 cases of gestational sac of CSP had local injection of MTX smoothly and successfully; The gestational sac had more signiifcant changes beforeand after treatment. All cases were discharged after conservative treatment.Conclusion Ultrasonography plays an important role in the diagnosis and treatment of CSP.
