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目的探讨彩超在诊断和治疗子宫瘢痕处妊娠中的价值。方法本组子宫瘢痕处妊娠(CSP)26例,经腹或和经阴道彩超声联合检查,总结其声像图特征。在治疗中:22例超声引导下局部MTX注射,18例在超声引导下行清宫术,以观其引导效果。结果诊断CSP彩超声像图具有特征性,超声引导下的治疗安全有效。22例行保守治疗者均痊愈出院。结论彩色多普勒超声对瘢痕妊娠的早期确诊、及时治疗及随访均起着重要的指导作用。
Objective To investigate the value of color Doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy. Methods 26 cases of pregnancy (CSP) in this group of uterine cicatrices, abdominal or transvaginal ultrasound combined examination, summarizes the sonographic features. In the treatment: 22 cases under the guidance of local MTX ultrasound guided injection, 18 cases under the guidance of uterine curettage in order to see the guiding effect. Results The diagnosis of CSP color echocardiography was characteristic and the ultrasound-guided treatment was safe and effective. 22 routine conservative treatment were cured and discharged. Conclusions Color Doppler ultrasound plays an important guiding role in the early diagnosis, timely treatment and follow-up of scar pregnancy.