超声检查在剖宫产术后子宫瘢痕妊娠诊疗中的应用价值

摘要

目的 探讨超声对剖宫产术后子宫瘢痕妊娠的诊断、治疗方法选择和疗效评估中的价值.方法 回顾性分析2012年8月至2014年8月经超声诊断并经证实的27例子宫瘢痕妊娠患者的临床资料和声像图特征.结果 根据超声声像图特征可将本组病例分为孕囊型16例;包块型11例.治疗后,超声检查所得病灶大小及血流情况与β-HCG值同时减少.结论 超声检查对剖宫产术后子宫瘢痕妊娠的诊断有重要价值,可以帮助临床选择较好的治疗方法以及疗效评估.%Objective To investigate the value of ultrasonography in the diagnosis and treatment of caesarean scar pregnancy (CSP) after cesarean section,so as to help clinicians to select proper treatment methods and evaluate therapeutic effects.Methods Retrospective analysis on the clinical data and ultrasonographic features of 27 cases of CSP which were diagnosed by ultrasonography and clinically confirmed in our department from August 2012 to August 2014 was made for the study.Results According to the ultrasonographic features,the cases in the group were divided into the gestational sac type (17 cases) (with a diagnostic accordance rate of 88％) and the mass type (10 cases) (with a diagnose accordance rate of 80％).Total diagnose accordance rate was 85％.After treatment,the sizes of foci,blood flow andβ-HCG values were all decreased.Conclusion Ultrasonography is of important value for the diagnosis of caesarean scar pregnancy after cesarean section,and can help clinicians to select better treatment methods and evaluate therapeutic effects.