子宫瘢痕妊娠的彩色多普勒超声诊断分析

目的:探讨彩色多普勒超声检查对子宫瘢痕妊娠的诊断价值。方法:回顾性分析47例经临床手术证实的子宫下段瘢痕早期妊娠的临床资料。结果结果:47例患者中,孕囊植入型占27例(占比57.45%),孕囊表面型占12例(占比25.53%),包块植入型占5例(占比10.64%),包块表面型占3例(占比6.38%)。结论:经阴道彩色多普勒超声检查对子宫下段孕囊或包块位置、大小、形态、与膀胱之间子宫肌层厚度及周边血供情况作出明确提示,为临床诊断和治疗方案的制定起指导作用,具有重要的临床价值。

Objective:To explore the diagnostic value of color Doppler ultrasound for uterine scar pregnancy. Methods:The clinical data of 47 patients with uterus scar pregnancy after cesarean section operation were retrospectively analyzed. Results:Among 47 cases, there were 27 cases(account for 57.45%) of pregnant bursa implantable,12 cases(account for 25.53%)of pregnant bursa type surface, 5 cases(account for 10.64%) of bag piece implantable and 3 cases(account for 6.38%)of bag piece surface type. Conclusion:Using the transvaginal color Doppler ultrasonography, to provide the clear hint for the location, size and shape of the pregnancy pouch or mass in lower uterine segment, and to provide the clear hint for the between the bladder and uterus muscle layer thickness and peripheral blood supply, and provide the guide for clinical diagnosis and treatmentof uterine scar pregnancy after cesarean scetion and should be popularized and applied in clinic.