摘要
目的分析两种类型剖宫产切口妊娠(CSP)患者的临床特点及MRI影像学表现。方法回顾性分析2014年1月至2019年6月我院收治的205例CSP患者的临床资料,根据孕囊生长位置,分为内生型(94例)和外生型(111例),比较两种类型CSP患者妊娠状态、治疗情况及MRI影像学表现。结果内生型和外生型CSP患者停经时间、距上次剖宫产时间、阴道出血时间、β人绒毛膜促性腺激素(β-hCG)比较,差异无统计学意义(P>0.05);内生型CSP患者瘢痕厚度、孕囊大小、孕囊与瘢痕接触面长度均高于外生型CSP患者(P<0.05),包块型孕囊、血供丰富占比低于外生型CSP患者(P<0.05);内生型CSP患者宫腔镜电切术手术时间、术中出血量、住院时间及二次处理率均低于外生型CSP患者(P<0.05);内生型CSP患者清宫术手术时间、术中出血量及二次处理率均低于外生型CSP患者(P<0.05),两种类型CSP患者住院时间无显著差异(P>0.05)。结论内生型和外生型CSP患者的临床特点、MRI影像学表现、治疗情况均存在差异,MRI适用于两种类型CSP,可为其治疗方案的选择提供指导。
Objective To analyze the clinical characteristics and MRI imaging findings of two types of cesarean scar pregnancy(CSP).Methods The clinical data of 205 patients with CSP admitted to our hospital from January 2014 to June 2019 were retrospectively analyzed.According to the growth position of gestational sac,they were divided into endogenous type(94 cases)and exogenous type(111 cases).Pregnancy status,treatment status and MRI imaging findings were compa red among patients with two types of CSP.Results Th e re were no significa nt differences in menopause time,time from last cesa rean section,vaginal bleeding time andβ-human chorionic gonadotropin(β-hCG)among patients with endogenous and exogenous CSP(P>0.05).The scar thickness,gestational sac size,length of gestational sac and scar contact surface of endogenous CSP patients were higher than those of exogenous CSP patients(P<0.05),and the proportions of mass gestational sac and rich blood supply were lower than those of exogenous CSP patients(P<0.05).The operative time,intraoperative blood loss,hospital stay and secondary treatment rate of of hysteroscopic electrotomy of endogenous CSP patients were lower than those of exogenous CSP patients(P<0.05).The operative time,intraoperative blood loss and secondary treatment rate of uterine curettage of endogenous CSP patients were lower than those of exogenous CSP patients(P<0.05),and there was no significant difference in hospital stay between the two types of CSP patients(P>0.05).Conclusion The clinical cha ra cteristics,MRI imaging findings and treatment status are different among endogenous and exogenous CSP patients.MRI is applicable to two types of CSP,and can provide guidance for the choice of treatment options.
作者
赵晓丽
贾晓慧
王倩倩
ZHAO Xiao-li;JIA Xiao-hui;WANG Qian-qian(Department of Obstetrics and Gynecology,Zhengzhou People's Hospital,Zhengzhou 450000,Henan Province,China)
出处
《中国CT和MRI杂志》
2021年第5期75-78,共4页
Chinese Journal of CT and MRI
