子宫瘢痕妊娠的早期超声诊断

Early Ultrasound Diagnosis of Cesarean Scar Pregnancy

目的:探讨剖宫产术后子宫瘢痕部位妊娠的超声表现.方法:选取我院2012年2月~2015年2月收治的剖宫产术后子宫瘢痕部位妊娠的9例患者,对其超声图像资料进行回顾性分析.结果:9例剖宫产术后子宫瘢痕妊娠孕妇中6例可见子宫峡部前壁典型妊娠囊,3例位于子宫峡部混合包块,所有孕妇超声图像可见子宫前壁下段肌壁较薄,局部血流信号丰富,脉冲多普勒示低速低阻的血流频谱.结论:彩色多普勒超声诊断剖宫产术后子宫瘢痕妊娠能够清晰显示特异性声像特征,准确率较高,能为临床治疗子宫瘢痕妊娠提供重要的参考依据,临床意义重大,值得推广应用.

Objective: To investigate the ultrasound findings of pregnant uterine scar parts after cesarean section. Methods:9 cases of uterine cesarean scar pregnancy that were treated in our hospital from February 2012 to Febru-ary 2015 were selected, their ultrasonic image data were retrospectively analyzed. Results:In 9 cases of uterine ce-sarean scar pregnancy women, 6 cases showed the typical gestational sac in the front wall of uterine isthmus, 3 cases showed the mixed bag piece located in uterine isthmus. All pregnant women’ultrasound images showed the lower section of uterus front wall was thin;the local blood flow signal was rich, pulse Doppler showed low-speed and low resistance blood spectrum morphology. Conclusion:In the diagnosis of uterine cesarean section scar pregnancy, col-or Doppler ultrasound can clear display specific imaging characteristics with high accuracy, can offer important refer-ence for clinical treatment of uterine scar pregnancy, has a great clinical significance, and is worth popularization and application.