剖宫产后子宫切口妊娠超声造影表现分析

目的探讨剖宫产后子宫切口妊娠的超声造影表现以及超声造影技术在诊断切口妊娠中的应用价值。方法对10例切口妊娠病例进行常规超声及超声造影检查,总结其超声造影表现。结果 10例病例根据超声造影表现可分为孕囊型与不均质团块型。孕囊型(4例)均表现为"面包圈样"结构,病灶周边呈环状增强,病灶内部为无增强;不均质团块型(6例),均表现为不均匀增强,表现为边缘增强(1例)、分隔样增强(1例)、团状增强(4例)。结论切口妊娠类型不同超声造影表现亦不相同,超声造影能为子宫切口妊娠诊断及鉴别诊断提供客观的依据。

Analysis of Contrast-enhanced Ultrasound Technology with Cesarean Scar Pregnancy

Objective To explore the manifestations and value of contrast-enhanced ultrasound(CEUS) technology in the pregnancy diagnosis with cesarean scarpregnancy(CSP).Methods A total of 10 cases clinically diagnosed as the pregnancy with cesarean scar were examined by CEUS.And the performance of CEUS was summarized.Results Total of 10 cases were classified by the different ultrasonographic type as embryo sac and heterogeneous.Four cases of the type of embryo sac displayed donut sign which showed a rim-like homogeneous enhancement of the mass and the inside region no enhancement.Six cases showed uneven enhancement of the heterogeneous type.1 case displayed margin enhancement,1 case separated enhancement and 4 cases mass enhancement in 6 cases.Conclusion The different types of pregnancy with cesarean scar had different manifestations in the contrast-enhanced sonography,which can provide a reliable basis for diagnosis and different diagnosis of the disease.