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目的探讨剖宫产切口瘢痕妊娠的声像图特征以及临床诊断价值。方法回顾性分析37例剖宫产切口瘢痕妊娠患者临床资料,研究其声像图特征,并探讨患者临床转归以及病理结果。结果声像图表现为孕囊型23例,混合回声型14例。在保守治疗的过程中,超声检查显示病灶逐渐缩小,血流逐渐的减少,直至消失,血绒毛膜促性腺激素(HCG)下降至正常。结论剖宫产术后,经超声检查可以准确而又及时的诊断出切口瘢痕妊娠,通过对超声声像图特征的分析,对患者进行分型,从而有针对性的选择治疗方案,提升治疗效果,值得临床推广。
Objective To investigate the sonography features and clinical diagnostic value of cesarean section scar pregnancy. Methods The clinical data of 37 pregnant women with cesarean scar incision were analyzed retrospectively. Their sonography features were studied. The clinical outcomes and pathological findings were also discussed. Results The sonography showed gestational sac type in 23 cases and mixed echo type in 14 cases. In the course of conservative treatment, ultrasound examination showed lesion shrinking gradually reduced blood flow, until disappear, blood chorionic gonadotropin (HCG) decreased to normal. Conclusion After cesarean section, the ultrasound can accurately and timely diagnose incisional scar pregnancy. By analyzing the characteristics of ultrasonography, the patients can be sub-typed so as to select the treatment plan and improve the treatment effect , It is worth clinical promotion.