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目的:分析应用彩色多普勒超声检查在剖宫产术后子宫瘢痕妊娠诊断及治疗的价值。方法:选取2013年4月至2015年4月期间在我院行剖宫产术后治疗子宫瘢痕妊娠的32例患者的临床资料进行回顾性分析,观察其超声影像的特征和治疗结果。结果:超声影像学检查表现为宫腔内无妊娠物影像,妊娠物在肌层缺损处中断,妊娠物周边血流信号丰富。保守治疗26例,其中22例为包块型瘢痕妊娠,4例为孕囊型瘢痕妊娠,手术治疗6例,包块2例为包块型瘢痕妊娠和4例为孕囊型瘢痕妊娠,手术治疗中1例因出现子宫穿孔行灶楔形切除联合子宫修补治疗,所有患者的血HCG均降至正常,其中孕囊型瘢痕妊娠的HCG平均转归时间短于包块型瘢痕妊娠,P<0.05。结论:彩色多普勒超声检查可以对剖宫产术后子宫瘢痕妊娠进行早期的诊断并及时确定治疗方案,在临床中具有重要的应用价值。
Objective: To analyze the value of color Doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods: The clinical data of 32 patients who underwent uterine scar pregnancy after cesarean section in our hospital from April 2013 to April 2015 were retrospectively analyzed. The characteristics and treatment results of ultrasound were observed. Results: Ultrasound imaging showed no intrauterine pregnancy images, pregnancy in the muscle defect at the interruption of pregnancy-related peripheral blood flow signal rich. Conservative treatment of 26 cases, of which 22 cases were mass-type scar pregnancy, gestational sac pregnancy in 4 cases, 6 cases of surgical treatment, 2 cases of mass-type massaging scar pregnancy and 4 cases of gestational sac scar pregnancy, surgery 1 case of treatment due to uterine perforation line wedge resection combined with uterine repair, all patients with blood HCG were normal, which gestational sac-like pregnancy HCG average prognosis shorter than the mass of the mass of pregnancy, P <0.05 . Conclusion: Color Doppler ultrasound can diagnose uterine scar pregnancy after cesarean section early and determine the treatment plan in time, which has important clinical value.