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目的利用超声对剖宫产切口瘢痕处妊娠结构进行观察,总结剖宫产瘢痕处妊娠超声特征。方法对36例经腹部超声或阴式超声检查诊断为剖宫产切口瘢痕处妊娠、经手术证实的超声资料进行分析。结果病例超声表现有三类:孕囊型、单纯囊型、混合型;子宫壁处有胎盘血流。本组病例手术所见:经腹部手术囊胚刮除及瘢痕切除术治疗22例,其中6例术中见胚囊不完整,囊壁较厚,内为凝血块;16例子宫下段瘢痕外凸,质软,表面呈紫色,并见少量溢血。经阴道胚囊刮除术及瘢痕切除术14例。病理均证实为瘢痕妊娠或妊娠组织残留。结论超声检查可以显示子宫瘢痕、瘢痕处妊娠囊大小、囊内胚胎有无,为临床治疗提供准确的依据。
Objective To observe the pregnancy structure of cesarean scar with ultrasound and summarize the characteristics of pregnancy ultrasound in cesarean scar. Methods 36 cases of abdominal ultrasound or vaginal ultrasound diagnosis of cesarean section scar pregnancy, confirmed by ultrasound data analysis. Results There were three types of ultrasound manifestations: gestational sac type, simple cystic type, mixed type; uterine wall placental blood flow. Surgical treatment of this group seen: the operation of the abdominal blastomycosis and scar excision in 22 cases, of which 6 cases of surgery see the embryo sac is not complete, the thick wall, the clot is inside; 16 cases of lower uterine scar scars , Soft, purple surface, and see a small amount of bleeding. Transvaginal embryo sac curettage and scar resection in 14 cases. Pathology were confirmed as pregnancy or pregnancy scar tissue residue. Conclusion Ultrasound examination can show the scar of the uterus, the size of the gestational sac in the scar and the presence or absence of the cyst embryo, providing an accurate basis for clinical treatment.