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经阴道超声在剖宫产瘢痕妊娠早期诊断中的应用
引用本文:何大军,张波,叶茜,杨新宇,王丽娟.经阴道超声在剖宫产瘢痕妊娠早期诊断中的应用[J].实用医院临床杂志,2011,8(1):87-89.
作者姓名:何大军  张波  叶茜  杨新宇  王丽娟
作者单位:四川省达州市第二人民医院功能科,四川,达州,635000
摘    要:目的探讨经阴道超声(TVS)对剖宫产瘢痕妊娠(caesarean scar pregnancy,CSP)早期诊断的价值及临床意义。方法回顾性分析我院术后确诊为CSP的16例患者的彩色多普勒声像图表现特征、临床转归以及术后结果。结果 TVS诊断CSP的17例患者中,术后病理学证实为CSP者14例,误诊3例;TVS诊断为非CSP的22例患者中,术后病理学证实2例为CSP;TVS诊断CSP的灵敏度为87.5%,特异度为87.0%;术后确诊为CSP的16例患者超声图像表现为单纯孕囊型(6例)、不均质团块型(10例);彩色多普勒血流显像血流信号丰富6例,少许血流信号5例,无血流信号5例。结论 TVS检查有助于对CSP做出早期、准确的诊断及鉴别诊断,对临床治疗方案的选择具有重要意义。

关 键 词:经阴道超声  剖宫产瘢痕妊娠  早期诊断

Application of transvaginal sonography in early diagnosis of cesarean scar pregnancy
HE Da-jun,ZHANG Bo,YE Qian,YANG Xin-yu,WANG Li-juan.Application of transvaginal sonography in early diagnosis of cesarean scar pregnancy[J].Practical Journal of Clinical Medicine,2011,8(1):87-89.
Authors:HE Da-jun  ZHANG Bo  YE Qian  YANG Xin-yu  WANG Li-juan
Institution:HE Da-jun,ZHANG Bo,YE Qian,YANG Xin-yu,WANG Li-juan(Department of Ultrasound,Dazhou No.2 People's Hospital,Dazhou 635000,China)
Abstract:Objective To investigate transvaginal sonography in the early diagnosis of cesarean scar pregnancy(CSP) and verify its clinical value.Methods The color Doppler flow imaging(CDFI) and clinical data of 16 cases of CSP diagnosed in our hospital were retrospectively analyzed in order to summarize the ultrasonic manifestation,clinical treatment and pathologic results of CSP.Results In the 17 patients who were diagnosed as CSP by TVS,14 were confirmed by pathological examination,while 3 were miss diagnosed.The se...
Keywords:Transvaginal sonography  Cesarean scar pregnancy  Early diagnosis  
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