摘要
目的探讨经阴道超声(TVS)对剖宫产瘢痕妊娠(caesarean scar pregnancy,CSP)早期诊断的价值及临床意义。方法回顾性分析我院术后确诊为CSP的16例患者的彩色多普勒声像图表现特征、临床转归以及术后结果。结果 TVS诊断CSP的17例患者中,术后病理学证实为CSP者14例,误诊3例;TVS诊断为非CSP的22例患者中,术后病理学证实2例为CSP;TVS诊断CSP的灵敏度为87.5%,特异度为87.0%;术后确诊为CSP的16例患者超声图像表现为单纯孕囊型(6例)、不均质团块型(10例);彩色多普勒血流显像血流信号丰富6例,少许血流信号5例,无血流信号5例。结论 TVS检查有助于对CSP做出早期、准确的诊断及鉴别诊断,对临床治疗方案的选择具有重要意义。
Objective To investigate transvaginal sonography in the early diagnosis of cesarean scar pregnancy （ CSP） and verify its clinical value. Methods The color Doppler flow imaging （CDFI） and clinical data of 16 cases of CSP diagnosed in our hospital were retrospectively analyzed in order to summarize the ultrasonic manifestation, clinical treatment and pathologic results of CSP. Results In the 17 patients who were diagnosed as CSP by TVS, 14 were confirmed by pathological examination, while 3 were miss diagnosed. The sensitivity of TVS for CSP was 87.5% and the specificity was 87. 0%. The sonogram of the 16 confirmed CSP patients manifested sinlple gestational sac type （6 cases） and heterogeneous mass type （10 cases）. The manifestation of CDFI included strong blood flow signals （ 6 cases ） , weak blood flow signals and no blood flow signals （ 5 and 5 cases respectively ）. Conclusion Transvaginal sonography may provide early and accurate diagnosis of CSP, which will benefit the proper choice of clinical treatment.
出处
《实用医院临床杂志》
2011年第1期87-89,共3页
Practical Journal of Clinical Medicine
关键词
经阴道超声
剖宫产瘢痕妊娠
早期诊断
Transvaginal sonography
Cesarean scar pregnancy
Early diagnosis
