21例切口疝早期妊娠彩超诊断报道

Report on Color Doppler Ultrasound Diagnosis of Early Pregnancy of 21 Cases of Incisional Hernia

目的通过对比21例剖宫产术后子宫瘢痕处早期妊娠经阴道彩超分型诊断的结果与手术病理组织学诊断结果,探讨经阴道彩超在剖宫产术后子宫瘢痕妊娠(CSP)中的诊断价值。方法对临床CSP疑似患者进行经阴道彩超检查,了解子宫剖宫产术后瘢痕处孕囊的着床位置、形态、与切口的关系、孕囊前方与膀胱间的子宫肌层厚度、瘢痕处彩色多普勒血流显示情况,并进行分型。结果经阴道彩超检查结果:I型CPS占61.9%(13/21),Ⅱ型CPS7例占33.3%(7/21),Ⅲ型CPS占4.76%(1/21)。结论经阴道彩超能够依据剖宫产术后瘢痕处孕囊的位置,孕囊与膀胱间子宫肌层厚度,孕囊或包块与膀胱、腹腔之间的关系,瘢痕处彩超血流显像明确分型,为临床选择合适的治疗方式提供了依据。

Objective To explore diagnostic value of transvaginal color Doppler ultrasound for CSP diagnosis based on transvaginal color ultrasound classification diagnosis and surgical histopathological diagnosis for 21 cases of early pregnancy with uterine scars after cesarean section.Methods The paper carried out transvaginal ultrasound examination on patients with suspected CSP in clinical practice to understand implantation position of gestational sac at scar site after cesarean section,shape of gestational sac,its relationship with incision,thickness of uterine muscle layer between gestational sac and bladder and color Doppler blood flow display at scar site,and carried out classification.Results Among 21 cases in the group,transvaginal ultrasound examination showed,type I accounted for 61.9%(13/21),typeⅡaccounted for 33.3%(7/21),and typeⅢaccounted for 4.76%(1/21).Conclusion Transvaginal ultrasound can classify scars based on position of gestational sac at scar site after cesarean section accurately,thickness of uterine muscle layer between gestational sac and the bladder,and relationship between gestational sac or mass and b ladder or abdominal cavity.Ultrasound blood flow imaging at scar site is of great significance in guiding clinical selection of drug therapy or surgical treatment.