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

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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.

Key words： Pregnance, ectopic Cicatrix Ultrasonography, Doppler, color

PACS:	Ｒ714.22
	Ｒ445.1

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	LIAO Cai-hua
	CHEN Lu-ying
	LIN Li

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LIAO Cai-hua,CHEN Lu-ying,LIN Li. The diagnostic value of transabdominal and transvaginal color Doppler ultrasound in caesarean scar pregnancy[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(1): 42-44.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2016/V27/I1/42

[1]Osborn DA, Williams TR, Craig BM. Cesarean scar pregnancy sonographic and magnetic resonance imaging findings, complications, and treatment[J]. J Ultrasound Med, 2012, 31(9): 1449-1456.
[2]苗德萍，朱维均，赖小灿，等. 超声在子宫瘢痕妊娠中的诊疗价值[J]. 临床超声医学杂志，2013，15（1）：71-72.
[3]Calì G, Giambanco L, Puccio G, et al. Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta[J]. Ultrasound Obstet Gynecol, 2013, 41(4): 406-412.
[4]刘静华，范义，刘滨月，等. 经阴道彩超诊断及鉴别诊断子宫疤痕妊娠的价值[J]. 中国妇幼保健，2012，27（5）：767-768.
[5]王立平，王立英，宋学平，等. 经阴道彩超在诊断瘢痕子宫妊娠中的价值[J]. 河北医学，2013，19（4）：534-537.
[6]Rheinboldt M, Osborn D, Delproposto Z. Cesarean section scar ectopic pregnancy: a clinical case series[J]. J Ultrasound, 2015, 18(2): 191-195.
[7]雷琳，陈志华，郑东平，等. 超声引导下局部注射氨甲蝶呤治疗剖宫产术后瘢痕妊娠[J]. 临床超声医学杂志，2013，15（6）：415-417.
[8]Cheng LY, Wang CB, Chu LC, et al. Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy[J]. Fertil Steril, 2014, 102(4): 1085-1090.
[9]Tsai SW, Huang KH, Ou YC, et al. Low-lying-implantation ectopic pregnancy: A cluster of cesarean scar, cervico-isthmus, and cervical ectopic pregnancies in the first trimester[J]. Taiwan J Obstet Gynecol, 2013, 52(4): 505-511.
[10]钱鹭葵，陈文龙. 经腹和经阴道联合彩超检查对剖宫产子宫疤痕妊娠的诊断价值[J]. 中国超声医学杂志，2011，27（12）：1138-1141.
[11]向京. 经阴道彩超定位手术治疗疤痕妊娠的临床效果观察[J]. 中国妇幼保健，2013，28（12）：2002-2003.
[12]Brasic N, Warden M, Vargas JE. Conservative management of cesarean scar pregnancy with sonographically guided transvaginal methotrexate injection[J]. J Ultrasound Med, 2013, 32(6): 1061-1063.
[13]申玉红. 剖宫产术后子宫疤痕处妊娠12例临床分析[J]. 中国妇幼保健，2007，22（31）：4398-4399.
[14]Timor-Tritsch IE, Monteagudo A, Cali G, et al. Cesarean scar pregnancy and early placenta accreta share common histology[J]. Ultrasound Obstet Gynecol, 2014, 43(4): 383-395.
[15]Holt R, Santiago-Munoz P, Nelson DB, et al. Sonographic findings in two cases of complicated pregnancy in women previously treated with endometrial ablation[J]. J Clin Ultrasound, 2013, 41(9): 566-569.