摘要
目的：探讨彩色多普勒超声对剖宫产疤痕妊娠（Cesarean scar pregnancy，CSP）的诊断价值。方法：对我院2008年12月—2011年10月妇产科诊治的21例CSP患者的资料进行回顾性分析，分析总结其声像图特征。结果：21例患者中超声正确诊断CSP 18例，诊断正确率85.7％；误诊1例，病理证实为滋养细胞疾病，误诊率4.8％；漏诊2例，超声诊断为宫颈妊娠1例、不全流产1例，漏诊率9.5％。20例CSP患者声像图表现：典型孕囊型10例，孕囊样结构型5例，混合性包块型5例。结论：彩色多普勒超声检查对CSP具有较高的诊断价值，可以为临床诊断和治疗提供重要的参考信息。
Abstract
Objective: To evaluate the value of color Doppler ultrasound in diagnosis of cesarean scar pregnancy. Methods: We analyzed retrospectively the data of 21 patients who were diagnosed as a cesarean scar pregnancy from December, 2008 to October, 2011 at affiliated hospital of Jining medical college and analyzed the ultrasonographic features of cesarean scar pregnancy. Results: Eighteen of 21 cases were correctly diagnosed of cesarean scar pregnancy by ultrasound. The accuracy of ultrasound diagnosis of cesarean scar pregnancy was 85.7%(18/21). One case misdiagnosed as cesarean scar pregnanly was trophoblastic disease confirmed by pathology. The misdiagnose rate was 4.8%(1/21). Two cases of cesarean scar pregnancy were missed and diagnosed as cervical pregnancy and incomplete abortion respectively by ultrasonography. The missed diagnose rate was 9.5%(2/21). The ultrasonography of cesarean scar pregnancy can be divided into three types: gestational sac type(10 cases), gestational sac-like structure type(5 cases) and mixed mass type(5 cases). Conclusion: Color Doppler ultrasound is important in the diagnosis of cesarean scar pregnancy, and can provide important reference information for early clinical diagnosis and treatment.
关键词
妊娠 /
异位 /
超声检查 /
多普勒 /
彩色
Key words
Pregnancy /
ectopic /
Ultrasonography /
Doppler /
color
何敬海;安 霞;王 聪;韩友东;田丽元;王少春;陈东风.
彩色多普勒超声在剖宫产疤痕妊娠诊断中的应用[J]. 中国临床医学影像杂志. 2012, 23(8): 565-567
HE Jing-hai;AN Xia;WANG Cong;HAN You-dong;TIAN Li-yuan;WANG Shao-chun;CHEN Dong-feng.
Application of color Doppler ultrasound in the diagnosis of cesarean scar pregnancy[J]. Journal of China Clinic Medical Imaging. 2012, 23(8): 565-567
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