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目的:探讨彩色多普勒超声在早期瘢痕妊娠诊断中的应用价值及影像学特点。方法:收集我院2008年1月-2014年8月期间诊治的早期瘢痕妊娠患者34例患者临床资料,分析彩色多普勒超声检查结果。结果:经腹联合经阴道检查诊断早期瘢痕妊娠的灵敏度明显高于单纯经腹、经阴道检查,漏诊率低于单纯经腹、经阴道检查(P<0.05);4例表现为单纯孕囊型,13例为不均质团块型,16例为混合型包块型。结论:彩色多普勒超声中经腹联合经阴道途径检查对早期瘢痕认识的诊断灵敏度高,早期瘢痕妊娠不同分型具有各自不同特征性彩色多普勒超声表现,应仔细加以辨别。
Objective: To investigate the value and imaging features of color Doppler ultrasound in the diagnosis of early scar pregnancy. Methods: The clinical data of 34 patients with early scar pregnancy treated in our hospital from January 2008 to August 2014 were collected, and the results of color Doppler ultrasonography were analyzed. Results: The sensitivity of transabdominal and transvaginal examination in diagnosing early scar pregnancy was significantly higher than that of simple transabdominal and vaginal examination, the rate of missed diagnosis was lower than that of transabdominal and vaginal examination (P <0.05) , 13 cases were heterogeneous mass type, 16 cases were mixed mass type. Conclusion: The sensitivity of color Doppler ultrasonography for the diagnosis of early scar is high. The different types of early scar pregnancy have different characteristic color Doppler ultrasound manifestations, which should be carefully distinguished.