| 李康宁,姜玉新,刘真真,苏娜,王铭,戴晴.宫腔超声造影对剖宫产瘢痕妊娠治疗后的远期随访评估[J].中国医学影像技术,2016,32(3):411~415 |
| 宫腔超声造影对剖宫产瘢痕妊娠治疗后的远期随访评估 |
| Saline infusion sonohysterography in long-term follow up of patients with previous cesarean scar pregnancy |
| 投稿时间：2015-08-27 修订日期：2016-01-14 |
| DOI：10.13929/j.1003-3289.2016.03.023 |
| 中文关键词: 剖宫产瘢痕妊娠 宫腔超声造影 瘢痕修补 |
| 英文关键词:Cesarean scar pregnancy Saline infusion sonohysterography Scar repair |
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| 中文摘要: |
| 目的 探讨瘢痕妊娠治疗同时行瘢痕修补术是否有助于改善瘢痕形态。方法 前瞻性收集40例剖宫产瘢痕妊娠治疗结束半年以上的患者,根据最初治疗时是否行瘢痕修补术分为手术组(n=19)和清宫组(n=21),均行超声宫腔造影,比较两组瘢痕形态及残余肌层情况,根据残余肌层厚度与相邻肌层厚度比将剖宫产瘢痕分为大瘢痕憩室(≤ 50%)、小瘢痕憩室(>50%)、完整瘢痕(瘢痕处肌层无明显变薄)。结果 手术组与清宫组的瘢痕长度、宽度、深度、子宫残余肌层厚度、残余肌层比例、体积差异均无统计学意义(P均>0.05);手术组中,大瘢痕憩室8例,小瘢痕憩室和完整瘢痕11例;清宫组中,大瘢痕憩室6例,小瘢痕憩室和完整瘢痕15例,两组瘢痕类型差异无统计学意义(χ2=0.80,P=0.37)。结论 瘢痕修补术并未明显改善瘢痕妊娠患者的瘢痕形态。 |
| 英文摘要: |
| Objective To explore whether scar repair while treating cesarean scar pregnancy could contribute to scar healing. Methods Forty patients who had finished cesarean scar pregnancy treatment for more than half a year were prospectively included. According to the prior therapeutic method, all patients were divided into surgery group(n=19) and curettage group(n=21). The differences of scar shape and residual myometrium between two groups were evaluated by saline infusion sonohysterography. Based on the ratio between the thickness of the remaining myometrium over the scar and the sickness of the myometrium adjacent to the scar, scars was classified as large(the ratio≤50%), small(the ratio>50%), intact(no thinning myometrium). Results Between the two groups, the scar length, width, depth, volume, the residual myometrial thickness and the ratio between the thickness of the remaining myometrium over the scar and the thickness of the myometrium adjacent to the scar were not statistically different(all P>0.05). In the surgery group, there were eight big defect scars and eleven small defect scars or intact scars; in the curettage group, there were six big defect scars and fifteen small defect scars or intact scars. There were no significant differences in the scar types(χ2=0.80, P=0.37). Conclusion Scar repair do not contribute to improve the scar healing in treating cesarean scar pregnancy. |
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