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目的探讨经阴道彩色多普勒超声在子宫瘢痕妊娠早期诊断治疗中的应用价值,提高早期诊断正确率。方法对13例诊断为子宫瘢痕妊娠的资料进行回顾性分析。结果患者在宫腔正常部位均未见到孕囊,在子宫下段的切口部位可见妊娠物。根据其超声表现,将其分为2型:有8例为胚囊型,5例为不均质团块型。结论经阴道彩色多普勒超声检查是诊断子宫瘢痕妊娠的首选方法,对临床合理选择治疗方案有重要的指导意义。
Objective To investigate the value of transvaginal color Doppler ultrasound in the early diagnosis and treatment of uterine scar pregnancy and to improve the accuracy of early diagnosis. Methods The data of 13 cases diagnosed as uterine scar pregnancy were analyzed retrospectively. Results The patient did not see the gestational sac in the normal part of the uterine cavity, and the pregnancy was seen in the incision site of the lower uterine segment. According to its ultrasound performance, it is divided into 2 types: 8 cases of embryo sac type, 5 cases of heterogeneous lump type. Conclusion Transvaginal color Doppler ultrasonography is the first choice for the diagnosis of uterine scar pregnancy, which has important guiding significance for clinical choice of treatment options.