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目的探讨经腹及经阴道联合超声对剖宫产瘢痕妊娠(caesarean scar pregnancy,CSP)诊断的临床价值,以及CSP的超声分型对临床个性化治疗CSP的指导价值。方法回顾分析河南科技大学第一附属医院超声诊断28例CSP住院患者声像图特征,及其保守治疗、手术治疗和病理结果及患者转归情况。结果 28例均获得明确诊断,将CSP分四型,孕囊型6例,结节型9例,团块型8例,巨块型5例;3例孕囊型为超声及临床确诊,25例均获得病理标本,其中24例显微镜下可见绒毛组织,1例病理确诊为绒癌,诊断正确率为96.4%。结论超声早期诊断CSP具有重要价值,而且对CSP的个性化治疗具有重要指导价值。
Objective To investigate the clinical value of combined transvaginal and transvaginal ultrasound in the diagnosis of caesarean scar pregnancy (CSP) and the value of CSP classification in clinical personalized treatment of CSP. Methods The echocardiographic features of 28 CSP inpatients undergoing ultrasound diagnosis in the First Affiliated Hospital of Henan University of Science and Technology were retrospectively analyzed. The conservative treatment, surgical treatment, pathological findings and patient outcomes were retrospectively analyzed. Results All the 28 cases were diagnosed correctly. There were 6 cases of CSP, 9 cases of gestational sac, 9 cases of nodular, 8 cases of massive and 5 cases of massive. Three cases of gestational sac were ultrasonographed and clinically diagnosed, 25 Cases were obtained pathological specimens, of which 24 cases were observed under the microscope villous tissue, a pathological diagnosis of choriocarcinoma, the correct diagnosis rate of 96.4%. Conclusion Early diagnosis of CSP with ultrasound is of great value, and it is of great guiding significance for the personalized treatment of CSP.