摘要
目的评价腔内彩色多普勒超声对瘢痕妊娠早期诊断的临床价值。方法 15例既往有剖宫产史,现再次妊娠患者均采用腔内彩色多普勒超声进行检查,观察妊娠物与子宫切口的关系,切口部位回声、血流情况等。结果 15例患者在剖宫产切口处见异常回声灶,根据声像图分为:①完整孕囊型,②混合回声型,其中完整孕囊型与相同孕周的瘢痕子宫及无瘢痕子宫正常妊娠的切口处肌层厚度差异有统计学意义(P<0.01)。结论腔内彩色多普勒超声检查对瘢痕妊娠的早期诊断有着重要意义。
Objective To evaluate the diagnostic value of intravaginal color Doppler ultrasound in the early diagnosis of cesarean section pregnancy.Methods Fifteen pregnant cases with previous cesarean section received intravaginal ultrasound examination.The gesta-tional sac into previous cesarean section cicatrix located in the uterine isthmus os and splendid color Doppler flow signals were observed.Re-sults A gestational sac or mixed mass was embedded and surrounded by the myometrium attached to the cicatrix in 15 cases.There were two types:gestational sac types and mixed echogenicity solid mass type.The thickness of lower uterine segment myometrium in cesarean section pregnancy was compared with that of the normal pregnancy in previous cesarean uterine and normal pregnancy in uterine without previous ce-sarean.There was significant difference among the three groups(P<0.01).Conclusion Color Doppler ultrasonography,especially transvagi-nal color Doppler is highly valuable in the early diagnosis of cesarean section pregnancy.
出处
《安徽医学》
2014年第5期619-623,共5页
Anhui Medical Journal
关键词
瘢痕妊娠
彩色多普勒超声
诊断
Cesarean section pregnancy
Color Doppler ultrasound
Diagnosis
