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目的评价彩色多普勒超声用于子宫瘢痕妊娠中的诊断价值。方法回顾分析25例患者的临床资料。结果本组25例患者治疗前超声检查均提示宫腔内未见妊娠,于子宫下段前壁剖宫产切口瘢痕处见妊娠物,与浆膜层最小距离0.8～2.3;本组12例为孕囊型,13例为团块型,药物治疗10d后,18例患者妊娠物缩小,与浆膜层最小距离增厚,血β-HCG值下降程度>50%,行清宫术治疗成功;7例患者妊娠物大小、与前壁浆膜层的最小距离、血β-HCG值无明显变化,行子宫修补术治疗成功。结论彩色多普勒超声是确诊剖宫产术后子宫瘢痕妊娠最直接且有效的方法,可指导选择治疗方案,评估疗效,改善预后。
Objective To evaluate the value of color Doppler ultrasound in the diagnosis of uterine scar pregnancy. Methods The clinical data of 25 patients were retrospectively analyzed. Results The group of 25 patients before treatment ultrasound showed no intrauterine pregnancy, in the anterior cesarean section of the anterior wall of the lower uterus incision pregnancy see pregnancy, and serosal minimum distance of 0.8 to 2.3; the group of 12 cases of pregnancy Cystic type, 13 cases were clumpy type. After 10 days of drug treatment, 18 cases of pregnancy decreased, the minimum distance to the serosal layer was thickening, the degree of decline of blood β-HCG was> 50%, and curettage was successful; The size of the patient’s pregnancy, and the anterior serosa layer minimum distance, blood β-HCG values did not change significantly, line uterine repair surgery was successful. Conclusions Color Doppler ultrasound is the most direct and effective method for the diagnosis of uterine scar pregnancy after cesarean section. It can guide the choice of treatment plan, evaluate the curative effect and improve the prognosis.