Application Value of 3D Vitreous Imaging Technology Combined with Color Doppler Ultrasound Flow Imaging in the Diagnosis of Caesarean Scar Pregnancy
ZHANG Guo-yan1a, LIU Tong-fen1b, ZHAO Ya-pei2, LIU Dong-ling3, LI Xiu-fen4, WANG Dong-mei1c,
1.a.Department of Emergency; b.Hemodialysis Room; c.Department of Ultrasound, The First Central Hospital of Baoding, Baoding Hebei 071000, China; 2.Department of Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang Hebei 050000, China; 3.Department of Laboratory, Baoding Orthopaedic Hospital, Baoding Hebei 071000, China; 4.Department of Laboratory, People’s Hospital of Xushui, Xushui Hebei 072550, China
Abstract：Objective To explore the application value of 3D vitreous imaging technology combined with color doppler ultrasound in the diagnosis of caesarean scar pregnancy. Methods 83 patients who suffered from caesarean scar pregnancy were treated in our hospital from May 2009 to July 2012. Abdominal ultrasound images, transvaginal ultrasound images and 3D vitreous ultrasound images of 83 patients were retrospectively analyzed. Results Among 83 patients with caesarean scar pregnancy: ① 40 were gestational sac type, among which 25 patients with a live embryo bud and 15 patients without any embryo bud or with a diapaused embryo; 38 patients who have a small foetal sac or small embryo bud or don’t have any embryo bud received methotrexate(MTX) and interventional therapy, the other 2 patients received hysterectomy. ② 42 were heterogeneous mass type, among which 7 patients received hysterectomy, 25 patients received MTX and interventional therapy, 10 patients received conservative treatment. ③ one patient was misdiagnosis, so the diagnosis rate was 98.8%. For both type, abundant blood flow signals were showed in chorionic villus cultivation area on 3D imaging. Conclusion 3D vitreous imaging technology combined with color doppler ultrasound can provide more accurate infromation for positioning and qualitative diagnosis of caesarean scar pregnancy, which is helpful for the chosen of optimal treatment method in clinic and the estimation of disease course and prognosis.
张国彦，刘同芬，赵雅培，刘东玲，李秀芬，王冬梅. 3D玻璃体成像技术结合彩色多普勒超声在瘢痕妊娠诊断中的应用价值[J]. 中国医疗设备, 2014, 29(12): 167-169.
ZHANG Guo-yan, LIU Tong-fen, ZHAO Ya-pei, LIU Dong-ling, LI Xiu-fen, WANG Dong-mei,. Application Value of 3D Vitreous Imaging Technology Combined with Color Doppler Ultrasound Flow Imaging in the Diagnosis of Caesarean Scar Pregnancy. China Medical Devices, 2014, 29(12): 167-169.
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