摘要
目的探讨超声及MRI对剖宫产后瘢痕妊娠的诊断价值。方法回顾性分析2011年6月至2012年4月,经手术后病理证实的15例剖宫产后瘢痕妊娠患者的超声及MRI资料,判断超声及MRI对瘢痕妊娠诊断效能。结果 15例患者超声检查中13例诊断宫旁囊性或囊实性病变,考虑瘢痕妊娠(13/15)。其中2例误诊,1例超声诊断为妊娠滋养细胞肿瘤,1例诊断为宫颈妊娠。15例患者同时行MRI检查,在切口处均发现孕囊,考虑瘢痕妊娠15例(15/15)。结论 MRI作为瘢痕妊娠的辅助性检查方法,对诊断该病具有一定特异性,但仍需要结合剖宫产病史及超声检查。
Objective To evaluate ultrasound and MRI findings in the early diagnosis of cesarean scar pregnancy（CSP）.Methods From June 2011 to April 2012,15 cases were diagnosed as CSP on the basis of the history of cesarean section and the manifestations of pregnancy by transvaginal ultrasound and magnetic resonance imaging（MRI） were compared.Results 13 cases were diagnosed by transvaginal ultrasound,and 15 cases by MRI.Ultrasound diagnostic accuracy rate was 86.7%,MRI diagnostic accuracy rate was 100%.Conclusion Ultrasound is valuable for diagnosing CSP,and MRI can be used as a supplement method to ultrasound scan.Early diagnosis depends on cesarean pregnancy history and Ultrasound.
出处
《临床放射学杂志》
CSCD
北大核心
2013年第1期89-92,共4页
Journal of Clinical Radiology
关键词
磁共振成像
超声
瘢痕妊娠
Magnetic resonance imaging Ultrasound Cesarean scar pregnancy
