本文選題：子宮切口妊娠　切入點(diǎn)：經(jīng)陰道超聲　出處：《上海交通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年10期

【摘要】：目的·探討剖宮產(chǎn)術(shù)后子宮切口妊娠(CSP)經(jīng)陰道超聲檢查的表現(xiàn),并評(píng)估經(jīng)陰道超聲結(jié)合MRI在CSP診斷和治療中的價(jià)值。方法·回顧性分析上海交通大學(xué)附屬第一人民醫(yī)院3年內(nèi)收治的42例CSP患者的經(jīng)陰道超聲檢查表現(xiàn)、MRI結(jié)果及臨床資料。結(jié)果·42例中確診為CSP共36例,經(jīng)陰道超聲漏診1例,誤診5例,診斷準(zhǔn)確率85.7%;經(jīng)MRI檢查36例,漏診3例,誤診1例,診斷準(zhǔn)確率88.9%。其中孕囊型CSP 30例,混合包塊型CSP 6例。根據(jù)超聲檢查提示子宮下段切口處肌層厚度,對(duì)孕囊型CSP患者采取不同處理方式:3 mm者采用吸宮術(shù);≤3 mm者進(jìn)一步結(jié)合MRI檢查,選擇手術(shù)切除妊娠物或子宮動(dòng)脈栓塞+甲氨蝶呤化學(xué)治療+吸宮術(shù)。結(jié)論·經(jīng)陰道超聲和MRI診斷CSP的準(zhǔn)確率均較高。經(jīng)陰道超聲結(jié)合MRI可為CSP治療方案選擇提供重要的參考。
[Abstract]:Objective to evaluate the value of transvaginal ultrasound combined with MRI in the diagnosis and treatment of CSP after cesarean section.Methods MRI findings and clinical data of 42 patients with CSP admitted in the first people's Hospital affiliated to Shanghai Jiaotong University within 3 years were retrospectively analyzed.Results among the 42 cases, 36 cases were diagnosed as CSP, 1 case was missed by transvaginal ultrasound, 5 cases were misdiagnosed, the diagnostic accuracy was 85.7%, 36 cases were diagnosed by MRI, 3 cases were missed diagnosis, 1 case was misdiagnosed, and the diagnostic accuracy was 88.9%.There were 30 cases of CSP and 6 cases of mixed mass CSP.According to the results of ultrasound examination, the thickness of myometrium at the incision of the lower uterine segment was indicated, and the patients with gestational sac type CSP were treated with different types of treatment: 3 mm and 鈮，

本文編號(hào)：1696636