| 摘要: |
| 目的 分析经阴道超声(TVS)对剖宫产术后子宫瘢痕愈合情况的评价及瘢痕妊娠的超声表现,提高瘢痕妊娠的检出率。方法 回顾性分析我院915例剖宫产史半年以上,疑诊早孕拟人工终止妊娠或疑诊流产不全拟清宫术前TVS检查宫内情况的资料,总结子宫瘢痕的超声表现、孕囊与瘢痕的关系及17例瘢痕妊娠的超声特征。结果 860例子宫瘢痕愈合良好；38例子宫瘢痕憩室形成；649例瘢痕子宫正常部位妊娠；17例子宫瘢痕部位妊娠,其中孕囊型15例,包括内生型9例,外生型6例；团块型2例。结论 TVS能较好地观察评价剖宫产术后子宫瘢痕的愈合情况,早期诊断瘢痕妊娠,阻断不恰当人流及妊娠。 |
| 关键词: 超声检查,经阴道 剖宫产 子宫瘢痕 瘢痕妊娠 |
| DOI： |
| 投稿时间：2016-05-06修订日期：2017-01-22 |
| 基金项目: |
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| Evaluation for cesarean scar and inspection analysis for cesarean scar pregnancy using transvaginal ultrasonography |
| tian xin |
| (TCM Hospital, Neijiang Dongxing) |
| Abstract: |
| Objective To improve the detection rates of cesarean scar pregnancy, the transvaginal ultrasound (TVS) features of cesarean scar and cesarean scar pregnancy were analyzed. Methods 915 patients who had a history of abortion for more than six months and were suspected pregnancy intended artificial termination of pregnancy or suspected incomplete abortion intended curettage were reviewed retrospectively;and the TVS performances of cesarean scar, the relationship between gestational sac and cesarean scar , the ultrasound characteristics of uterine scar pregnancy of 17 cases were analyzed . Results 860 cases of uterine scar healed well; 38 cases of uterine scar formation of diverticula; 649 cases of uterine scar normal part of pregnancy; 17 cases of uterine scar pregnancy, included 15 gestational sac type and 2 abnormal sonographic mass;the first type included 9 cases of superficial implantation type and 6 cases of deep implantation type. Conclusion TVS can better observe and evaluate healing after caesarean section, diagnose scar pregnancy earlier, prevent inappropriate abortion and pregnancy. |
| Key words: Ultrasonography,transvaginal Cesarean section Cesarean scar,Cesarean scar pregnancy |
