经阴道彩色多普勒超声评估介入子宫动脉栓塞治疗瘢痕妊娠的效果观察

Transvaginal Color Doppler Ultrasound was used to Evaluate the Effect of Interventional Uterine Artery Embolization in the Treatment of Scar Pregnancy

目的探讨经阴道彩色多普勒超声评估子宫动脉栓塞治疗瘢痕妊娠的效果。方法回顾性收集于本院妇产科进行子宫动脉栓塞术治疗瘢痕妊娠患者临床资料34例,患者均进行阴道彩色多普勒超声检查,总结患者超声成像特点,与手术或病理结果比较,评估手术情况。结果超声诊断包块型有11例,诊断的灵敏度、特异度为90.9%、95.7%;诊断为孕囊型有22例,灵敏度、特异度依次为95.7%、100.0%;前者的超声图上可见不均匀的混合回声包块,有低回声、中等回声、动脉血流信号;后者的超声图在剖宫产切口瘢痕处可见孕囊,部分患者可见胚芽,患者均顺利完成动脉栓塞术治疗。结论子宫动脉栓塞术可作为瘢痕妊娠的治疗方案,围手术期经阴道超声检查可作为治疗评价指标。

Objective to evaluate the effect of transvaginal color doppler ultrasound in the treatment of scar pregnancy by uterine artery embolization.Methods thirty-four cases of patients with scar pregnancy treated by uterine artery embolization in the department of obstetrics and gynecology of our hospital were retrospectively collected.Results 11 cases were diagnosed by ultrasound with the sensitivity and specificity of 90.9%and 95.7%.The sensitivity and specificity of 22 cases were 95.7%and 100.0%respectively.The sonogram of the former shows heterogeneous mixed echo masses with low echo,medium echo and arterial blood flow signals.The ultrasound of the latter showed the pregnancy capsule at the scar of the cesarean section,and the germ was visible in some patients.Conclusion uterine artery embolization can be used as a treatment for scar pregnancy.