经阴道彩色多普勒超声评价子宫动脉栓塞术对子宫瘢痕妊娠的治疗效果.pdfVIP

· 278 · 史国 墅堡 迨 堂 o1o年第7卷第3期 ChinJIntervImagingTher，2010，Vol7，No3 TransvaginalcolorDopplerultras0n0graphyevaluationoftranscatheter uterinearteryembolizationforuterinescarpregnancy L儿 Jing—hua ，FAN Yi，HEXue-sen ，LUQiong-jie， ZHANGHong—guang ，LIYu一 ng。，TANG Qian (1．ColorUltrasonicRoom，2．DepartmentofInterventionalRadiology，3．Departmentof GynaecologyandObstetrics，LonggangDistrictCentralHospitalofShenzhen，Shenzhen518116，China) -[Abstract] Objective Toevaluatetheeffectoftranscatheteruterinearteryembolizationinuterinescarpregnancywith transvaginalcolorDopplerultrasonography．Methods Fifteenpatientsofcesareansectionscarpregnancywereexamined withtransvaginalcolorDopplerultrason0graphybeforeandaweekafteruterinearteryembolization．Thesizeandtheblood flow informationofgestationalsacwererecorded．Results Afterembolization，thesizeofgestationalsacin 4patients (26．67 )didnotchange，whilein11patients (73．33 )reduced．Noechochangeorpoortransluminationingestation cysttypepregnancywasfound．Theechoesweremoreheterogeneous，evenwithnecroticareainmasstypepregnancy．The ringbloodflow signalbecamedisorderordisappeared．Conclusion Transcatheteruterinearteryembolization isasafeand effectivemethodtOpreventbleedinginpatientswithpregnancyinpreviouscesareansectionscar，andtheeffectcanbeeval— uatedwithtransvaginalcolorDopplerultrasound． -[Keywords] ultrasonography；Pregnancy，ectopic；Interventionaltherapy；Uterinearteryembolization 经阴道彩色多普勒超声评价子宫动脉栓塞术 对子宫瘢痕妊娠的治疗效果 刘静华 ，范 义 ，何学森 ，卢琼洁 ，张宏光 ，李玉芳。，唐 茜 (1．深圳市龙岗中心医院彩超室，2．介入影像科 ，3．妇产科 ，广东 深圳 518116) [摘 要] 目的 采用经阴道彩色多普勒超声评价子宫动脉栓塞术对子宫瘢痕妊娠的治疗效果。方法 对 15例剖宫产 术后瘢痕妊娠接受子宫动脉栓塞术治疗 的患者于术前及术后 1周进行经阴道超声检查，记录妊娠囊大小及血流信息。结 果 4例 (26．67 )治疗后妊娠囊大小无变化 ；11例 (73．33 )缩小；孕囊型回声无变化或无 回声区透声欠佳 ；包块型回声 更不均匀 ，部分包块内见坏死区。治疗前 的环状血流变为杂乱的