彩超对剖宫产术后子宫瘢痕部位妊娠的诊断价值

张宝娟，李华，王艳

（宝鸡市妇幼保健院，陕西 宝鸡，721000）

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摘要：

目的 探讨彩色多普勒超声对剖宫产术后子宫瘢痕部位妊娠的诊断价值。方法 回顾性分析我院收治的47例经临床证实的剖宫产瘢痕部位妊娠患者的彩超声图像表现，分析彩色多普勒超声影像图特点。结果 47例患者经超声检查均明确诊断，超声分级： 0级12例，1级18例，2级9例，3 级8例。彩色多普勒显示其周边可见丰富血流信号，脉冲多普勒呈高速低阻型频谱。结论 彩色多普勒超声能对剖宫产术后子宫瘢痕部妊娠的准确诊断提供重要诊断依据并监测治疗结果，超声分级能指导临床选择合适的治疗方式。

关键词：彩色多普勒超声；瘢痕部位妊娠；剖宫产术后

中图分类号：R714.22文献标志码：A文章编号：2096-1413(2017)31-0128-02

Diagnostic value of color Doppler ultrasound in the diagnosis of caesarean section pregnancy
ZHANG Bao-Juan, LI Hua, WANG Yan
(Maternal and Child Health Hospital of Baoji, Baoji 721000, China)

ABSTRACT: Objective To investigate the value of color Doppler ultrasound in the diagnosis of uterine cesarean scar pregnancy. Methods The color ultrasonographic images of 47 patients with clinically confirmed cesarean section scar in our hospital were retrospectively analyzed, the image features of color Doppler ultrasound were recorded. Results Forty-seven patients were comfirmly diagnosed by ultrasonography. The results showed that there were 12 cases of level 0, 18 cases of level 1, 9 cases of level 2, 8 cases of level 3. Color Doppler showed rich blood flow signal in gestational sac surrounding, and pulse doppler expressed as high-speed low-resistance type spectrum. Conclusion Color doppler ultrasound can provide important refference in the accurate diagnosis of uterine cesarean section scar pregnancy and monitor treatment outcomes, and the ultrasonic classification can guide to choose the right means of treatment.
KEYWORDS: color Doppler ultrasound; scar pregnancy; cesarean section

参考文献：
[1] 邢庆英.剖宫产术后瘢痕部妊娠超声诊断价值分析[J].临床合理用 药杂志,2012,5(13):160-161.
[2] JURKOVIC D,HILLABY K,WOELFER B,et al.First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar[J].Ultrasound Obstet Gynecol,2003,21(3):220-227.
[3] VIAL Y,PETIGNAT P,HOHLFELD P.Pregnancy in a cesarean scar [J].Ultrasound Obstet Gynecol,2000,16(6):592-593.
[4] 蔡薇,杨太珠,罗红.剖宫产后瘢痕处妊娠经阴道超声图像分析的临床意义[J].实用妇产科杂志2009,25(10):621-623.
[5] 李冰.剖宫产瘢痕妊娠的超声诊断[J].当代临床医刊,2015,28(3):1444-1445.
[6] 高燕华,王珍芳,邹荣莉.经阴道及经腹部超声检查对剖宫产瘢痕 部妊娠的应用价值[J].临床超声医学杂志,2015,17(1):65-66.