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目的探讨瘢痕子宫早期妊娠的超声表现。方法选取本院2010年1月~2013年6月21例瘢痕子宫早期妊娠患者,应用超声声像图予以观察,分析其超声临床表现特点。结果首次检查诊断符合率为81.0%,误诊4例,17例确诊患者宫腔中无妊娠囊,子宫下段前壁剖宫产切口瘢痕位置存在不规则性不均质回声团,有的压迫到宫颈管,包块及膀胱间肌层显著变薄,经彩色多普勒检查表明团块内及周边存在丰富血流信号。结论彩色多普勒超声诊断剖宫产术后瘢痕妊娠具有较明显效果,临床应用价值较高。
Objective To investigate the ultrasound manifestations of scar pregnancy in early pregnancy. Methods Twenty-one patients with early uterine scar pregnancy from January 2010 to June 2013 were enrolled in this study. Their ultrasonographic features were analyzed with ultrasonography. Results The first diagnosis was 81.0%, misdiagnosed in 4 cases, 17 cases were diagnosed as non-gestational sac in the uterine cavity, and there was irregular heterogeneous echogenic mass in the anterior cesarean incision in the anterior segment of the uterine segment. Some of them were oppressed to the cervix Tubes, masses and the bladder between the significantly thinning, color Doppler examination showed that there are abundant blood flow around the mass and signal. Conclusion The color Doppler ultrasound diagnosis of cesarean scar pregnancy has more obvious effect, clinical application value is higher.