经阴道超声在诊断剖宫产后子宫瘢痕处妊娠的临床应用价值探讨

The clinical value of transvaginal ultrasound in the diagnosis of caesarean section scar pregnancy

目的探讨经阴道超声检查在诊断剖宫产后子宫瘢痕处妊娠的临床应用价值。方法对延安市人民医院2013-07-2015-07疑似剖宫产后子宫瘢痕处妊娠的20例患者进行经阴道超声检查,并对检查结果进行回顾性分析。结果超声诊断正确17例,声像图表现为单纯孕囊型8例,混合回声包块9例,误诊3例,其中2例为不全流产,1例为滋养细胞疾病。结论经阴道超声检查对剖宫产后子宫瘢痕处妊娠的诊断具有重要的临床意义。

To investigate the clinical value of transvaginal ultrasound in the diagnosis of caesarean section scar pregnancy. Methods Transvaginal ultrasound was constructed in 20 cases who were suspected cesarean section scar pregnancy in Yan＇an People＇s Hospital from July 2013 to July 2015,then analyzed the results of the test retrospectively. Results Ultrasound correctly diagnosed 17 cases,a simple sonogram showed gestational sac in 8 cases,mixed echo mass in 9 cases,misdiagnosed 3 cases,including two cases of incomplete abortion,one case of trophoblastic disease. Conclusion Transvaginal ultrasound has important clinical implications for post- caesarean section scar pregnancy diagnosis.