剖宫产切口瘢痕妊娠超声诊断及指导价值探析.docVIP

剖宫产切口瘢痕妊娠超声诊断及指导价值探析 　　[摘要] 目的 分析剖?m产切口瘢痕妊娠的超声诊断与指导价值。方法 研究对象方便选取该院2015年7月―2016年6月收治的56例剖宫产切口瘢痕妊娠患者，所有患者均接受超声检查，对临床结果进行研究。结果 ①经超声诊断确诊的有53例，诊断率为94.64%；53例患者中有孕囊型患者21例、包块型患者32例；②手术治疗的患者25例、非手术治疗患者28例，手术治疗患者的病灶最大直径为（4.32±1.57）cm、大于非手术治疗患者的（3.12±1.06）cm，差异有统计学意义（P0.05）。结论 剖宫产切口瘢痕妊娠的超声诊断率较高，且对于指导手术或非手术治疗起到重要的价值 [关键词] 剖宫产；切口瘢痕妊娠；超声诊断；指导价值 [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）02（b）-0186-03 [Abstract] Objective To analyze the ultrasonic diagnosis and guidance value of cesarean section pregnancy. Methods 56 cases of patients with cesarean section pregnancy admitted and treated in our hospital from July 2015 to June 2016 were convenient selected as the research objects and all patients received the ultrasonic examination， and the clinical results were researched. Results The ultrasonic diagnosis showed that 53 cases were confirmed and the confirmation rate was 94.64%， and in the 53 cases of patients， there were 21 Gestational sac type cases and 32 massive type patients. There were 25 cases with operation treatment and 28 cases with non-operation treatment， and the biggest diameter of lesions of patients with operative treatment was bigger than the patients with non-operative treatment， and the difference had statistical significance[（4.32±1.57）cm vs （3.12±1.06）cm]（P0.05）. Conclusion The ultrasonic diagnosis rate of cesarean section pregnancy is higher， which is important value to guiding the operative and non-operative treatment. [Key words] Cesarean section； Cesarean scar pregnancy； Ultrasonic diagnosis； Guidance value 我国是世界上破宫产率最高的国家，剖宫产的切口一般选择在子宫前壁下段，分娩后子宫复旧、子宫下段恢复为子宫峡部，剖宫产切口瘢痕就位于这一部位，剖宫产切口瘢痕妊娠指的是妊娠囊在疤痕部位着床生长，对产妇的生命健康构成极大的威胁[1]。作为一类特殊的异位妊娠，剖宫产切口瘢痕妊娠发生后极易出现子宫破裂和大出血等并发症，对患者的生命安全及生活质量造成较大的影响。因此，针对剖宫产切口瘢痕妊娠患者应当早基于诊断和治疗，改善预后情况[2]。该文以该院2015年7月―2016年6月收治的56例剖宫产切口瘢痕妊娠为例，就超声影像学在剖宫产切口瘢痕妊娠诊断中的价值进行分析，现报道如下 1 资料与方法 1.1 一般资料 研究对象方便选取该院收治的55例剖宫产切口瘢痕妊娠患者，年龄最小的为25岁、最大为41岁，平均年龄为（32.67±1.35）岁；患者的剖宫产在1～2次之间，其中剖宫产次为1次的患者有38例、2次患者17例；发病与上次剖宫产的时间间隔在1～8年之间，平均为（4.62±1.4