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目的探讨超声在诊断剖宫产瘢痕妊娠中的应用。方法回顾性分析12例剖宫产瘢痕妊娠患者的超声及临床资料,观察瘢痕妊娠病灶的位置、形态、及其血流情况,测量其与子宫峡部前壁浆膜层的距离。结果 12例剖宫产瘢痕妊娠的患者中,子宫腔及宫颈管内均未见孕囊,超声表现为子宫体下段前壁孕囊或包块。孕囊型者8例,孕囊整体或部分突入子宫峡部前壁切口瘢痕内,包块型者4例,均为人流术后不全流产大出血患者。结论超声在剖宫产瘢痕妊娠的诊断中有重要价值。
Objective To investigate the application of ultrasound in the diagnosis of cesarean scar pregnancy. Methods The echocardiographic and clinical data of 12 patients with cesarean scar pregnancy were retrospectively analyzed. The location, morphology and blood flow of scar pregnancy were observed, and the distance between them and the anterior wall of the isthmus in the uterus was measured. Results Among the 12 cases of cesarean scar pregnancy, no gestational sac was found in the uterine cavity and cervical canal. The ultrasound showed the gestational sac or the mass of the anterior wall of the lower uterine segment. Gestational sac-type in 8 cases, the whole or part of the gestational sac broke into the anterior wall incision in the isthmus of the isthmus, mass-type in 4 cases, both abortion bleeding after incomplete bleeding. Conclusion Ultrasound has important value in the diagnosis of cesarean scar pregnancy.