超声检测对瘢痕妊娠的早期诊断及临床分析.docVIP

精品论文 参考文献 超声检测对瘢痕妊娠的早期诊断及临床分析 潘艳辉 (湖南省华容县中医院 414200) 　　【摘要】目的:回顾性分析子宫瘢痕妊娠的超声声像图特征，探讨超声检测对瘢痕妊娠早期诊断的价值及临床意义。方法:回顾性分析本院收治的35例疑似子宫瘢痕妊娠患者的早期超声诊断资料，将早期超声诊断结果与手术病理证实结果进行对比分析，评估早期超声诊断效果。结果: 35例疑似子宫瘢痕妊娠患者中，经超声探查有32例符合子宫瘢痕妊娠声像，超声诊断正确率为91.4%（32/35），超声早期诊断结果与手术证实结果间具有正相关性。结论:应用超声检测早期子宫瘢痕妊娠具有重要诊断价值，对临床治疗方式的选择有重要的指导意义。 　　【关键词】瘢痕妊娠 超声检查 早期诊断 临床 　　【中图分类号】R445 【文献标识码】A 【文章编号】1672-5085（2014）09-0015-02 　　Ultrasonic testing for the early diagnosis of scar pregnancy and clinical analysis 　　【Abstract】Objective: ultrasonic ultrasonographic features of uterine scar pregnancy were retrospectively analyzed, this article probes into the value of ultrasonic testing for early diagnosis of scar pregnancy and clinical significance. Methods: a retrospective analysis of our hospital were suspected of 35 cases of patients with uterine scar pregnancy early ultrasound diagnosis information, the ultrasonic diagnosis and early surgical pathology confirmed results contrast analysis, evaluation of early ultrasound diagnosis effect. Results: 35 cases of uterine scar pregnancy patients, 33 cases of postoperative pathologic diagnosis of uterine scar pregnancy, the ultrasonic probe is audio-visual, 32 cases in line with the uterine scar pregnancy ultrasound diagnostic accuracy was 91.4% (32/35), ultrasound confirmed that early diagnosis and surgery has a positive correlation between the results. Conclusion: the application of ultrasonic testing early uterine scar pregnancy has important diagnostic value, the choice of clinical treatment has important guiding significance. 　　【Key words】 scar pregnancy Ultrasonic examination Early diagnosis clinical 　　剖宫产瘢痕妊娠（caesarean scar pregnancy，CSP）属于一种较为罕见的异位妊娠，其发病机制尚不清楚，子宫的创伤，诸如剖宫产、刮宫术、子宫肌瘤等切除术造成子宫内膜与肌壁间的异常通道，绒毛通过子宫肌壁的小的缺损或裂隙而侵及肌层，形成肌层内妊娠[1]。CSP临床多表现为不同程度停经史、阴道不规则流血、下腹疼痛等症状，近年来，瘢痕妊娠的发病率有逐渐上升的趋势。由于孕囊种植于子宫下段瘢痕部，此处血供较为丰富，肌层较薄，不可盲目刮宫，处理不当会有胎盘植入、子宫破裂及大出血的风险，危及患者生命，因此早期诊断与治疗对于瘢痕妊娠的结局具有至关重要的意义。现对我院35例疑似瘢痕妊娠患