期刊文献+

影像学技术在子宫瘢痕处妊娠诊治中的应用价值 被引量:8

Application of imaging techniques in diagnosis and treatment of uterine scar pregnancy
原文传递
导出
摘要 对于有剖宫产史的子宫瘢痕处妊娠早孕病例,建议行经阴道彩色超声检查以了解胚胎的着床部位。三维超声、能量多普勒三维成像技术等的应用也提高了子宫瘢痕处妊娠的诊断率。而磁共振对于中晚孕的病例有较高的诊断价值,特别是对于怀疑有胎盘植入情况时。数字减影血管造影技术可以显示子宫动脉的分支,甚至子宫峡部血管分支出血的情况,对寻找病灶出血点,局部注射化疗药物、栓塞剂有切实的帮助。 While the a history of previous cesarean section, and an early first trimester transvaginal color Doppler ultrasound are advised to confirm the intrauterine location of the implantation site. Three dimensional ultrasound and three dimensional power Doppler ultrasound have improved the accuracy of diagnosis. Magnetic resonance imaging is used for late scar pregnancies, when the differential diagnosis has to be made between abnormal placentation such as accrete and normal placenta during the second or third trimester. Digital subtractive angiography can show the branches of uterine artery. In some cases, Digital subtractive angiography showed branches of uterine artery were bleeding, the site of the branches were equivalent to the lower segment of uterus.
作者 贺晶 周露璐
出处 《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2010年第8期582-584,共3页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 妊娠 宫外孕 影像学检查 超声检查 磁共振 数字减影血管造影 pregnancy ectopic image examination uhrasonographic examination magnetic resonance imaging digital subtraction angiography
  • 相关文献

参考文献9

  • 1Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis and management [ J ]. Obstet Gynecol,2006,107 (6) :1373-1381.
  • 2Flystra DL, Pound-Chang T, Miller MG, et al. Ectopic pregnancy within a cesarean delivery scar: a review [ J ]. Obstet Gynecol Surv ,2002,57 ( 8 ) : 537-543.
  • 3Dieh AP, Greenlandm H, Abdel-Aty M, et al. Caesarean scar pregnancy with expectant management to full term [J]. J Obstet Gynaecol,2008 ,28 ( 6 ) : 663-664.
  • 4Gielchinsky Y, Rojansky N, Fasoulintis SJ. Plancenta accretesummary of 10 year: a survey of 310 cases[ J]. Placenta,2002, 23(2-3) : 210.
  • 5Pascual MA, Hereter L, Graupera B, et al. Three-dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar [ J ]. Fertil Steril, 2007,88 : 706e5-7.
  • 6陈欣林,赵胜,陆兆龄,肖梅,杨小红,卢丹,陈常佩,周明英,胡蕾,杨莉莉.超声造影在胎盘早剥、梗死及植入临床诊断中的初步应用[J].中华医学超声杂志(电子版),2006,3(3):169-171. 被引量:18
  • 7Lax A,Prince MR,Mennitt KW,et al. The value of specific MRI features in the evaluation of suspected placental invasion [ J ]. Magn Reson Imaging,2007 ,25 ( 1 ) :87-93.
  • 8谭莉,姜玉新.子宫剖宫产切口处早期妊娠伴胎盘植入的超声诊断和介入治疗[J].中华超声影像学杂志,2004,13(11):828-830. 被引量:76
  • 9段洁,熊俊,方敏,杨文忠,杨小红.子宫动脉栓塞术在终止子宫瘢痕妊娠中的应用体会[J].中国实用妇科与产科杂志,2007,23(8):635-636. 被引量:62

二级参考文献20

  • 1单莹,范光升,金力.剖宫产术后子宫瘢痕妊娠13例临床分析[J].中国实用妇科与产科杂志,2006,22(2):131-132. 被引量:128
  • 2[1]Schmiedl UP,Komarniski K.Assessment of fetal and placental blood flow in primates using contrast enhanced ultrasonography.J Ultrasound Med,1998,17:75-80;discussion 81-82.
  • 3[2]Grussner S,Klingmuller V,Bohle R,et al,Increased signal intensity of velocity measurements in duplex sonography by using the contrast agent levovist:a prospective,randomized study in a fetal sheep model.Rofo,2004,176:91-97.
  • 4[3]Orden MR,Leinonen M,Kirkinen P.Contrast-enhanced ultrasonography of uteroplacental circulation does not evoke harmful CTG changes or perinatal events.Fetal Diagn Ther,2000,15:139-145.
  • 5[4]陈常佩,陆兆龄,编著.围生期彩色多普勒诊断学.北京:人民卫生出版社,2002.169-174.
  • 6[5]Kirkinen P,Helin-Martikainen HL,Vanninen R,et al.Placenta accreta:imaging by gray-scale and contrast-enhanced color Doppler sonography and magnetic resonance imaging.J Clin Ultrasound,1998,26:90-94.
  • 7[6]Lemercier E.MRI evaluation of placenta accreta treated by embolization.Apropos of a case.Review of the literature J Radiol,1999,80:383-387.
  • 8Salomon LJ, Fernandez H, Chauveaud A, et al. Successful management of a heterotopic caesarean scar pregnancy: potassium chloride injection with preservation of the intrauterine gestation: case report. Hum Reprod, 2003,18: 189-191.
  • 9Miller DA, Chollet JA, Goodwin TM. Clinical risk factors for placental previa-placenta accreta. Am J Obstet Gynecol, 1997, 177: 210-214.
  • 10Avva R,Shah HR,Angtuaco TL. US case of the day. Placenta increta. Radiographics, 1999,19:1089-1092.

共引文献148

同被引文献41

引证文献8

二级引证文献19

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部