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目的探讨经阴道彩色超声对子宫切口妊娠(sarean scar pregnancy,CSP)的诊断价值。方法回顾性分析31例子宫切口妊娠超声声像图特征及术后结果。结果 31例切口妊娠中,超声正确诊断24例,准确率为77.42%(24/31),误诊7例(宫颈部妊娠3例、不全流产2例、滋养细胞疾病1例、血凝块1例)。典型超声声像图表现为孕囊型、残留型、类滋养细胞疾病型和血块型四种类型。结论经阴道彩色超声对子宫切口妊娠的诊断是一种可靠的诊断方法,具有重要的临床价值。
Objective To investigate the diagnostic value of transvaginal sonography for sarean scar pregnancy (CSP). Methods A retrospective analysis of 31 cases of uterine incision pregnancy ultrasound features and postoperative ultrasound findings. Results In 31 cases of incisional pregnancy, 24 cases were correctly diagnosed by ultrasound with an accuracy rate of 77.42% (24/31), 7 cases misdiagnosed (3 cases of cervical pregnancy, 2 cases of incomplete abortion, 1 case of trophoblastic disease and 1 case of clot ). Typical ultrasound sonography showed gestational sac type, residual type, type of trophoblastic disease and blood clot four types. Conclusion The diagnosis of uterine incision pregnancy by transvaginal color ultrasound is a reliable diagnostic method and has important clinical value.