剖宫产瘢痕部位妊娠的CT与超声诊治分析

Analysis of CT and Ultrasound in Diagnosis and Treatment of CSP

目的探讨CT及超声在剖宫产瘢痕部位妊娠中的诊治价值。方法选择56例剖宫产瘢痕部位妊娠(CSP)患者,回顾性分析CT及超声影像学资料,总结其影像学分型及治疗方式的选择,评定CT、超声在剖宫产瘢痕妊娠中的诊断价值。结果56例CSP中,单纯孕囊型40例,植入型16例。超声诊断符合率为91.07%,CT诊断符合率为87.50%,两者联合诊断准确率为98.21%;单用超声诊断准确率与CT对比差异无统计学意义(P>0.05)。结论超声、CT检查为CSP诊断的有效方式,CT对孕囊植入及血供判断优势明显,可为术前评估及手术方式的制定奠定影像学基础。

Objective To explore the diagnostic and therapeutic value of CT and ultrasound in cesarean scar pregnancy （CSP）.Methods 56 patients with CSP were included in the study. The CT and ultrasound imaging data were retrospective analyzed. The imaging type and and selection of treatment were summarized. The diagnostic value of CT and ultrasound in CSP was evaluated.Results Among the 56 cases with CSP, 40 cases were simple gestational sac type and 16 cases were implantation type. The coincidence rate of ultrasound diagnosis was 91.07% while of CT diagnosis was 87.50%. The accuracy of combined diagnosis was 98.21%; There was no significant difference in accuracy of ultrasound diagnosis alone and CT （P〉0.05）.Conclusion Ultrasound and CT examination are the effective ways for the diagnosis of CSP. CT has more advantages in diagnosis of gestational sac implantation and blood supply, which can lay imaging foundation for preoperative evaluation and selection of surgical method.