摘要
目的:探讨超声检查在早期子宫瘢痕妊娠诊断及治疗中的应用价值。方法:对34例早期子宫瘢痕妊娠的超声影像及临床诊疗资料进行回顾性分析,总结其超声图像及临床特点。结果:34例剖宫产术后子宫切口瘢痕妊娠中,超声诊断孕囊型15例、流产型7例、混合包块型12例,分别采取药物流产后清宫术、甲氨蝶呤(methotrexate,MTX)有效杀胚后清宫术、经皮子宫动脉栓塞并MTX灌注后清宫术,均预后良好。结论:超声检查对子宫瘢痕妊娠临床治疗方法的选择具有重要参考价值,并在清宫术术中监护及术后随访中发挥重要作用。
Objective:To explore the application value of the ultrasonic examination in diagnosis and treatment of caesarean scar pregnancy(CSP).Methods:The ultrasound findings and clinical data of 34 early CSP cases were retrospectively analyzed.Results:There were 15 cases of gestational sac type,7cases of abortion type and 12 cases of mixed bag piece type diagnosed by ultrasonic examination in 34 early CSPs.They were treated with drug abortion,embryo-killing treatment by methotrexate(MTX),percutaneous uterine artery embolization with MTX before curettage,respectively.All of them obtained favorable prognosis.Conclusion:The ultrasonic examination has important value in the selection of clinical therapy on CSP,and could play an important role during the curettage and follow-up period.
出处
《西北国防医学杂志》
CAS
2016年第8期529-531,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
超声波诊断
子宫瘢痕妊娠
诊断
治疗
ultrasonic examination
caesarean scar pregnancy
diagnosis
treatment
