剖宫产瘢痕妊娠的临床诊断进展探讨.pdfVIP

临床医药文献杂志 2014 年 12 月 B 第 1 卷第 13 期 2329 Journal of Clinical Medical Literature Dec.B 2014 Vol. 1 No. 13 剖宫产瘢痕妊娠的临床诊断进展探讨 罗明霞 （内蒙扎兰屯市妇幼保健院，内蒙古扎兰屯 162650 ） 【摘要】目的 分析剖宫产瘢痕妊娠的临床诊断进展。方法 选择本院2010年1月～2014年6 月收治的子 宫瘢痕妊娠患者67例，对临床诊断资料展开回顾性分析。结果 67例剖宫产瘢痕妊娠患者均采用彩色多普勒 超声及MRI检查诊断，腹部联合经阴道B超确诊率为91.04% ，MRI检查均能清楚显示孕囊。结论 剖宫产瘢 痕妊娠应用彩色多普勒超声及MRI检查，具有一定的特征性表现，尤其是MRI 的影像学表现特征明显，可作 为诊断及治疗剖宫瘢痕妊娠的首选。 【关键词】剖宫产；瘢痕妊娠；临床诊断；进展 R714.2 A ISSN.2095-8242.2014.12.2329.02 【中图分类号】 【文献标识码】 【文章编号】 Cesarean scar pregnancy study progress in the clinical diagnosis LUO Ming-xia (Maternal and child health hospital, Inner Mongolia Zhalantun city Inner Mongozha Lan Tun 162650,China) Abstract Objective 【 】 To analyse the progress of clinical diagnosis of cesarean scar pregnancy. Methods Our hospital from January 2010 to June 2010 were analyzed in 67 patients with uterine scar pregnancy,for clinical diagnosis were retrospectively analyzed. Results 67 cases of patients with cesarean scar pregnancy using color doppler ultrasonography and MRI in the diagnosis of abdominal combined transvaginal ultrasound diagnosis rate was 91.04%,MRI can clearly show pregnant bursa. Conclusion The cesarean scar pregnancy using color doppler ultrasound and MRI,have certain characteristic,especially MRI imaging findings characteristic is obvious,can be used as the diagnosis and treatment of choice for cutting palace scar pregnancy. Key words 【 】Cesarean Section; Scar Pregnancy; Clinical Diagnosis; Progress 为能有效降低剖宫产瘢痕妊娠造成的危害，早期诊 妊娠患者的超声表现特征主要为：①宫腔显示空虚，可见 断、