中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
22期
99-100
,共2页
超声检查%经阴道超声%子宫切口妊娠%剖宫产术
超聲檢查%經陰道超聲%子宮切口妊娠%剖宮產術
초성검사%경음도초성%자궁절구임신%부궁산술
Ultrasonic inspection%Transvaginal ultrasound%Uterine incision pregnancy%Cesarean section
目的：探讨经腹彩色超声联合经阴道超声在子宫切口妊娠诊断和治疗中的临床价值。方法：2010年5月-2014年2月收治子宫切口妊娠患者15例，对其临床资料进行回顾性分析。结果：单纯妊娠囊型患者2例，混合性回声影患者13例；妊娠囊位置显示率100%。患者血流信号异常，所有患者PSV均＞40 cm/s，RI均＜1；经药物治疗后，行宫腔镜或清宫术，随访3～12个月，无不良并发症发生。结论：经腹超声联合经阴道超声检查具有很强的敏感度，同时为后期的手术治疗时机选择提供有效的参考，在临床运用中具有重要的价值。
目的：探討經腹綵色超聲聯閤經陰道超聲在子宮切口妊娠診斷和治療中的臨床價值。方法：2010年5月-2014年2月收治子宮切口妊娠患者15例，對其臨床資料進行迴顧性分析。結果：單純妊娠囊型患者2例，混閤性迴聲影患者13例；妊娠囊位置顯示率100%。患者血流信號異常，所有患者PSV均＞40 cm/s，RI均＜1；經藥物治療後，行宮腔鏡或清宮術，隨訪3～12箇月，無不良併髮癥髮生。結論：經腹超聲聯閤經陰道超聲檢查具有很彊的敏感度，同時為後期的手術治療時機選擇提供有效的參攷，在臨床運用中具有重要的價值。
목적：탐토경복채색초성연합경음도초성재자궁절구임신진단화치료중적림상개치。방법：2010년5월-2014년2월수치자궁절구임신환자15례，대기림상자료진행회고성분석。결과：단순임신낭형환자2례，혼합성회성영환자13례；임신낭위치현시솔100%。환자혈류신호이상，소유환자PSV균＞40 cm/s，RI균＜1；경약물치료후，행궁강경혹청궁술，수방3～12개월，무불량병발증발생。결론：경복초성연합경음도초성검사구유흔강적민감도，동시위후기적수술치료시궤선택제공유효적삼고，재림상운용중구유중요적개치。
Objective:To explore the clinical value of transvaginal ultrasonography and color doppler ultrasound in the diagnosis of uterine incision pregnancy.Methods:15 cases with uterine incision pregnancy were selected from May 2010 to February 2014. We retrospectively analyzed the clinical data.Results:2 cases were simple gestational sac type;13 cases were mixed echo shadow;gestational sac position display rate was 100%.Blood flow signals of patients were abnormal.All cases with PSV were greater than 40 cm/seconds.RI was less than 1.After drug treatment,they were given hysteroscopy or curettage,followed up for 3 to 12 months. There was no complications.Conclusion:Transabdominal ultrasound combined with transvaginal ultrasound has a strong sensitivity. At the same time,it can provide effective reference for later selection operation treatment time,and it has important value in clinical application.
