CAJ | 학술논문

目的：探讨剖宫产后子宫切口瘢痕妊娠的MRI影像学特点。方法经手术或病理证实瘢痕妊娠患者25例，回顾性分析MRI及临床资料，总结其MRI影像特征。结果25例中有7例呈囊状信号特征，18例表现为混杂信号包块影；25例中有3例较小妊娠囊完全位于瘢痕区子宫肌层，6例向宫腔内生长，16例向子宫前壁肌层浸润生长并向宫腔内生长，局部子宫峡部前壁明显变薄；25例疤痕妊娠患者，18例先药物治疗，再在超声监测下行清宫术，5例先行子宫动脉栓塞术，然后行清宫术，另外2例采用腔镜下子宫切开取胚术。结论 MRI能为临床治疗方案的选择提供重要的参考价值。
목적：탐토부궁산후자궁절구반흔임신적MRI영상학특점。방법경수술혹병리증실반흔임신환자25례，회고성분석MRI급림상자료，총결기MRI영상특정。결과25례중유7례정낭상신호특정，18례표현위혼잡신호포괴영；25례중유3례교소임신낭완전위우반흔구자궁기층，6례향궁강내생장，16례향자궁전벽기층침윤생장병향궁강내생장，국부자궁협부전벽명현변박；25례파흔임신환자，18례선약물치료，재재초성감측하행청궁술，5례선행자궁동맥전새술，연후행청궁술，령외2례채용강경하자궁절개취배술。결론 MRI능위림상치료방안적선택제공중요적삼고개치。
Objective To analyze the magnetic resonance imaging(MRI )features of cesarean scar pregnancy(CSP).Methods The MRI features 25 patients with CSP confirmed by clinic and pathology after cesarean section were retrospectively analyzed.Results All gestational sacs of the 25 CSP patients were clearly demonstrated on MRI.The gestational sacs were cystic(7/25) or heterogeneous(18/25),located within the uterine cavity (6/25) or deeply implanted in the scar(19/25).Suction and curettage were performd in 18/25, uterine artery embolization in 5/25 and laparoscopic operation in 2/25.Conclusion CSP has its unique findings on MRI, these specific features can provide useful information in the management of CSP.