Application of color Doppler ultrasound in the diagnosis of cesarean scar pregnancy

HE Jing-hai; AN Xia; WANG Cong; HAN You-dong; TIAN Li-yuan; WANG Shao-chun; CHEN Dong-feng

Journal of China Clinic Medical Imaging ›› 2012, Vol. 23 ›› Issue (8) : 565-567.

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Application of color Doppler ultrasound in the diagnosis of cesarean scar pregnancy

HE Jing-hai, AN Xia, WANG Cong, HAN You-dong, TIAN Li-yuan, WANG Shao-chun, CHEN Dong-feng

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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.

Key words

Pregnancy / ectopic / Ultrasonography / Doppler / color

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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