摘要
Abstract
Objective To investigate the application value of ultrasonography in sonographic characteristics, diagnosis and treatment of uterine scar pregnancy. Methods The sonographic characteristics of 39 patients of uterine scar pregnancy were analyzed. The changes of blood flow and the resistance index(RI) were compared before and after conservative treatment. Meanwhile, the therapeutic ef ect was evaluated referencing to the changes of in blood. Results The ultrasonoscopy of 39 patients suf ering from uterine scar pregnancy could be divided into three categories:(1) embryo sac(n=21 case);(2) mixed type mass (n=5);(3) part in the uterine cavity(n=12), and 1 misdiagnosed patient (inevitable abortion). Of 16 patients with conservative treatment, Peri-myometrium of the gastrula and the mass had abundant blood flow and lower RI before treatment, 7 days after the treatment of focal mild nar owing, RI has no obvious changes, compared with before treatment had no statistical significance; Within 28 days after treatment were decreased significantly, lesions significantly reduced or disappeared blood flow signal and RI increased, compared with before treatment was statistical y significant. Conclusion Uterine scar pregnancy has characteristics ultrasonogram. Ultrasonography can make more accurate diagnosis for uterine scar pregnancy, which plays an important guiding role in making clinical therapeutic schedule, evaluating curative ef ect and conducting fol ow-up.关键词
超声检查/子宫瘢痕/妊娠/诊断Key words
Ultrasonography/Uterine Scar/Pregnancy/Diagnosis
