【摘要】：目的:探討介入超聲微泡造影檢查在評估瘢痕子宮妊娠引產(chǎn)風(fēng)險(xiǎn)的價(jià)值,以便指導(dǎo)臨床安全有效地引產(chǎn)。方法:采用回顧性病例對照研究方法,以我院2008年至2014年期間住院引產(chǎn)的瘢痕子宮孕婦70例為研究對象,根據(jù)不同檢查方式分為介入超聲微泡造影檢查組(n=20)和普通超聲檢查組(n=50),比較兩組檢出子宮瘢痕缺損、前置胎盤、子宮切口妊娠情況及出現(xiàn)產(chǎn)后出血、子宮破裂、子宮切除的情況。結(jié)果:微泡造影檢查組檢出子宮切口妊娠5例,前置胎盤3例,子宮瘢痕缺損面積直徑大于5 mm者4例;普通超聲檢查組僅查出前置胎盤患者4例,兩種檢查方式,對于子宮切口妊娠和子宮瘢痕缺損的檢出率差異有統(tǒng)計(jì)學(xué)意義(P0.05)。對檢出的高危孕婦,采取預(yù)防性措施后引產(chǎn)。微泡造影檢查組產(chǎn)后出血1例;普通超聲檢查組產(chǎn)后出血4例、子宮破裂2例、子宮切除2例;微泡造影檢查組產(chǎn)后并發(fā)癥發(fā)生率小于普通超聲檢查組,但差異無統(tǒng)計(jì)學(xué)意義(5.0%vs14.0%,P0.05)。結(jié)論:介入超聲微泡造影對子宮切口妊娠、子宮瘢痕缺損的評估價(jià)值優(yōu)于普通超聲檢查,通過明確胎盤與瘢痕關(guān)系及瘢痕缺損面積,有助于指導(dǎo)臨床安全有效地引產(chǎn)。
[Abstract]:Objective: to evaluate the value of interventional ultrasound microbubble angiography in evaluating the risk of induced labor in scar uterus, so as to guide the clinical induction of labor safely and effectively. Methods: a retrospective case-control study was conducted in 70 pregnant women with scar uterus induced labor in our hospital from 2008 to 2014. According to different examination methods, they were divided into two groups: interventional microbubble angiography group (n 鈮，

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