超声对剖宫产瘢痕妊娠的临床应用价值

目的探讨超声对剖宫产术后子宫瘢痕妊娠的诊断治疗方面的临床应用。方法回顾性分析24例诊断为子宫瘢痕妊娠患者的声像图表现及临床资料。结果24例瘢痕妊娠病例根据妊娠物与瘢痕的位置关系分为三型：癜痕处肌层内型（5例）、瘢痕处宫腔内型（13例）及混合型（6例），根据分型及瘢痕处滋养血流分布状况选择治疗方案并超声随访。结论超声通过观测妊娠物与瘢痕的位置关系及瘢痕处滋养血流分布状况对于瘢痕妊娠的诊断、指导治疗等方面具有重要作用。

Value of ultrasonography in the Clinical application of caesarean scar pregnancy

Objective To explore the value of sonography in the clinical application of caesarean scar pregnancy. Methods The ultrasound imaging of twenty-four patients with caesarean scar pregnancy and their clinical treatments were retrospectively analyzed. Results Twenty-four patients were classified into three types according to the location of pregnancy matter relation with the caesarean scar: the first type included 5 patients with pregnancy matter implanted in the caesarean scar,the second type included 13 patients in which the pregnancy matter located in uterine cavity close to the caesarean scar, and the third type included 6 patients with pregnancy matter located partly in the caesarean scar and partly in the uterine cavity. Select treatment options depending on the types and distribution of nourish blood besides the pregnancy matter. Conclusion Sonography is valuable for the diagnosis and treatment of caesarean scar pregnancy by observing the location of pregnancy natter relation with the caesarean scar and distribution of nourish blood besides the pregnancy matter.