CAJ | 학술논문

目的：观察比较磁共振成像（MRI）与阴道彩色多普勒超声（TVCDU）方法在诊断剖宫产瘢痕妊娠中（CSP）的临床应用，探讨核磁共振在诊断剖宫产瘢痕妊娠中的临床意义。方法对35例剖宫产瘢痕部位妊娠分别采用磁共振成像和阴道彩色多普勒超声检查情况进行回顾分析，结合临床诊断标准和诊断结果，统计对比2种检查方法的准确率。结果根据磁共振成像和阴道彩色多普勒超声成像特点，并经手术及病理证实，阴道彩色多普勒超声组20例，14例正确诊断为剖宫产瘢痕部位妊娠，误诊、漏诊6例，确诊率70％；磁共振组15例，13例正确诊断为剖宫产瘢痕部位妊娠，1例正确诊断为滋养细胞疾病，1例正确诊断为宫颈妊娠，确诊率100％。磁共振成像和阴道彩色多普勒超声组误诊率对比，差异有统计学意义（P ＜0．01）。结论磁共振成像检查对剖宫产瘢痕妊娠具有直接、准确、鉴别诊断的较高价值，可以为剖宫产瘢痕妊娠的临床诊断和治疗提供重要信息。
목적：관찰비교자공진성상（MRI）여음도채색다보륵초성（TVCDU）방법재진단부궁산반흔임신중（CSP）적림상응용，탐토핵자공진재진단부궁산반흔임신중적림상의의。방법대35례부궁산반흔부위임신분별채용자공진성상화음도채색다보륵초성검사정황진행회고분석，결합림상진단표준화진단결과，통계대비2충검사방법적준학솔。결과근거자공진성상화음도채색다보륵초성성상특점，병경수술급병리증실，음도채색다보륵초성조20례，14례정학진단위부궁산반흔부위임신，오진、루진6례，학진솔70％；자공진조15례，13례정학진단위부궁산반흔부위임신，1례정학진단위자양세포질병，1례정학진단위궁경임신，학진솔100％。자공진성상화음도채색다보륵초성조오진솔대비，차이유통계학의의（P ＜0．01）。결론자공진성상검사대부궁산반흔임신구유직접、준학、감별진단적교고개치，가이위부궁산반흔임신적림상진단화치료제공중요신식。
Objective To compare and observe the clinical applications of magnetic resonance imaging (MRI) and transvaginal color Doppler ultrasonograph (TVCDU)in diagnosing cesarean scar pregnancy (CSP)and to investi-gate the clinical significance of MRI in CSP.Methods MRI and TVCDU were retrospectively reviewed in 35 patients with pathology proven cesarean scar pregnancy,statistical comparison of two kinds of checking the accuracy of the meth-od based on results.Results All results were according to image of MRI and TVCDU and confirmed by surgery and pathology.Fourteen of 20 patients were diagnosed CSP with TVCD,and the diagnostic accuracy was 70.0%.Six cases of CSP were misdiagnosed and missed.Thirteen of 15 patients were diagnosed CSP with MRI,including one case was diag-nosed the trophoblastic disease accuracy,one case was diagnosed as cervical pregnancy,the diagnostic accuracy was100%.Two groups contrast statistically significant in diagnostic accuracy(P <0.01).Conclusion MRI can provide important reference information for clinical diagnosis and treatment of cesarean scar pregnancy.