摘要目的:探讨经腹(Transabdominal color Doppler ultrasound,TAS)及经阴道彩色多普勒超声(Transvaginal color Doppler ultrasound,TVS)对子宫疤痕妊娠(Caesarean scar pregnancy,CSP)的诊断价值。方法:选择2012年5月—2014 年12月在我院接受超声检查并诊断为CSP的妊娠女性28例,分析其TAS和TVS诊断图像表现和分型。结果:28例CSP患者,TAS和TVS超声显示率分别为67.9%(19/28)和96.4%(27/28),两种超声诊断方式的显示率相比,差异具有统计学意义(P<0.05);其中,单纯妊娠囊型15例(53.6%),混合包块型9例(32.1%),部分位于宫腔型4例(14.3%)。结论:TVS能够明显弥补TAS对CSP检查的不足,TAS联合TVS可明显提高CSP的检出率;超声诊断能清楚显示CSP的位置、范围、子宫肌层厚度及血供情况,对CSP做出明确的诊断,具有重要的临床价值。
Abstract:Objective: To evaluate the diagnostic value of transabdominal color Doppler ultrasound(TAS) and transvaginal color Doppler ultrasound(TVS) in caesarean scar pregnancy(CSP). Methods: Twenty-eight cases diagnosed as CSP from May 2012 to December 2014 in our hospital were selected. Their TAS and TVS diagnostic images were analyzed. Results: CSP rates showed by TAS and TVS ultrasound were 67.9%(19/28) and 96.4%(27/28) with statistically significant difference(P<0.05). In all 28 patients, there were simple gestational sacs in 15 cases(53.6%), mixed masses in 9 cases(32.1%) and partly in the uterine cavity in 4 cases(14.3%). Conclusion: TVS can be complementary for TAS in diagnosing CSP by significantly improving the detection rate. CSP ultrasonic images can clearly show the location, extent, thickness of myometrium and blood supply, which has an important clinical value.
廖彩华,陈禄英,林 丽. 子宫疤痕妊娠的经腹及经阴道彩色多普勒超声诊断价值分析[J]. 中国临床医学影像杂志, 2016, 27(1): 42-44.
LIAO Cai-hua, CHEN Lu-ying, LIN Li. The diagnostic value of transabdominal and transvaginal color Doppler ultrasound in caesarean scar pregnancy. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(1): 42-44.
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