摘要
目的探讨剖宫产瘢痕妊娠的MRI诊断价值。方法回顾性分析18例经临床随访证实的剖宫产瘢痕妊娠MRI影像资料。结果 MRI清晰显示18例子宫瘢痕妊娠孕囊,孕囊均位于子宫下段峡部瘢痕周围。18例中7例孕囊位于子宫肌层,11例孕囊向子宫肌层浸润同时向宫腔内生长,局部子宫峡部前壁明显变薄。孕囊的形态主要有两种表现形式,其中单纯妊娠囊型10例,混杂团块型8例。结论 MRI对剖宫产瘢痕妊娠的早期诊断和治疗方案的选择具有重要意义。
Objective To investigate the MRI feature of cesarean scar pregnancy .Methods MRI of 18 cases of cesarean scar pregnancy was retrospectively analyzed and was confirmed by clinical diagnosis .Results All of the 18 gestational sacs located at or adjacent to the previous cesarean scar were clearly displayed by MRI .In 7 of the 18 cases ,gestational sac was found within the myometrium .Whereas ,in the remaining 11 cases ,gestational sac was found partially within the myome‐trium with extension into the uterine cavity .The anterior wall of isthmus uteri became thinner .The gestational sac mainly had two forms ,simple cystic structure （10 cases） and mixed signal mass （8 cases） .Conclusion MRI is of great value in the early diagnosis and the management of cesarean scar pregnancy .
出处
《医学影像学杂志》
2015年第6期1055-1057,共3页
Journal of Medical Imaging
关键词
子宫
瘢痕妊娠
剖宫产术
磁共振成像
Uterus
Scar pregnancy
Cesarean section
Magnetic resonance imaging
