经阴道二维和三维超声对剖宫产术后子宫疤痕部位妊娠的诊断价值

发布时间：2018-05-14 18:20

本文选题：经阴道二维超声 + 经阴道三维超声　；参考：《重庆医学》2017年33期

【摘要】：目的评价经阴道二维、三维超声在诊断剖宫产术后子宫疤痕部位妊娠(简称切口妊娠)的价值。方法回顾分析2015-2016年经阴道二维超声诊断为子宫前壁下段剖宫产切口妊娠的病例30例,在此基础上进行阴道三维超声诊断,所有病例均行磁共振检查核实。分析阴道二维、三维超声诊断为切口妊娠的价值。结果有1例经阴道二维超声诊断为切口处及宫腔下段孕囊部分植入型,后经阴道三维超声诊断为切口处孕囊完全植入型,其余分型与三维超声诊断一致。磁共振检查结果与阴道三维超声一致。三者诊断分型符合率比较差异无统计学意义(P0.05)。结论阴道三维超声可更为直观地显示病灶位置、范围、切口受累情况,较经阴道二维超声具有更加丰富的诊断信息。
[Abstract]:Objective to evaluate the value of transvaginal two-dimensional and three-dimensional ultrasound in the diagnosis of uterine scar pregnancy after cesarean section. Methods Retrospective analysis of 30 cases of 2015-2016 year transvaginal two-dimensional ultrasound diagnosis of cesarean section in the subwall of the uterus was performed on the basis of three dimensional ultrasound diagnosis. All cases were performed magnetic field. Resonance examination and verification. Analysis of the value of vagina two-dimensional, three-dimensional ultrasound diagnosis of incisional pregnancy. Results 1 cases of transvaginal two-dimensional ultrasound diagnosis of the incision and the subuterine segment of the pregnancy capsule part implants, and the posterior transvaginal three-dimensional ultrasound diagnosis of the incisional complete implants of the pregnancy sac, the rest of the classification and three-dimensional ultrasound diagnosis consistent. Magnetic resonance examination results and There was no significant difference in the coincidence rate between the three types of diagnosis (P0.05). Conclusion the three-dimensional ultrasound of vagina can show the location, scope and incisional involvement of the lesion more intuitively, and have more abundant diagnostic information than that of the vagina two-dimensional ultrasound.

【作者单位】：上海市妇幼保健中心孕产保健科;上海市同仁医院超声诊断科;
【基金】：上海市重点学科建设项目(15GWZK0401)
【分类号】：R445.1;R714.22

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