The application of transvaginal color Doppler ultrasound in the diagnosis and treatment of cesarean scar pregnancy

DUAN Li-fen; XU Hong; HE Ping; SHAN Li-ping

Journal of China Clinic Medical Imaging ›› 2014, Vol. 25 ›› Issue (4) : 260-262.

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The application of transvaginal color Doppler ultrasound in the diagnosis and treatment of cesarean scar pregnancy

DUAN Li-fen, XU Hong, HE Ping, SHAN Li-ping

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Abstract

Objective: To explore the adoption valuation of transvaginal color Doppler ultrasonography flow imaging(TV-CDFI) in the diagnosis and treatment of cesarean scar pregnancy(CSP). Methods: The characteristics of TV-CDFI and the different methods of CSP treatment including color Doppler ultrasound-guided punctures(CDUGP) from March 2010 to June 2013 in 45 cases were analyzed. Results: Forty-five cases with CSP were divided into 3 types: gestational sac type(19 cases), mass type(23 cases), mixed type(3 cases). The patients received such treatments as drug intervention by CDUGP(16 cases), curettage of uterine cavity under ultrasound-guidance(3 cases), conservative drug treatment(6 cases), hysteroscopic or laparoscopic treatment and curettage of uterine cavity(12 cases), transuterine artery chemotherapy and embolization(7 cases), transabdominal CSP lesion removal(1 case). Thirty-nine cases were diagnosed correctly, diagnostic accuracy was 86.7%, 6 cases were misdiagnosed, including uterine pregnancy threatened abortion(2 cases), inevitable abortion(1 case), missed abortion(1 case), uterine pregnancy incomplete abortion(1 case), cervix pregnancy(1 case). Conclusions: TV-CDFI is a reliable method for early diagnosing CSP, drug intervention treatment by CDUGP is an effective therapeutic method.

Key words

Pregnancy / ectopic / Cicatrix / Uterus / Cesarean section / Ultrasonography / Doppler / color

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DUAN Li-fen;XU Hong;HE Ping;SHAN Li-ping. The application of transvaginal color Doppler ultrasound in the diagnosis and treatment of cesarean scar pregnancy[J]. Journal of China Clinic Medical Imaging. 2014, 25(4): 260-262