[1]陈虹君 黄 涛 顾安琪.磁共振对剖宫产子宫瘢痕妊娠的诊断价值[J].大众科技,2023,25(6):59-62.
　Diagnostic Value of Magnetic Resonance Imaging in Cesarean Section Uterine Scar Pregnancy[J].Popular Science & Technology,2023,25(6):59-62.
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磁共振对剖宫产子宫瘢痕妊娠的诊断价值()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
25
期数:
2023年6
页码:
59-62
栏目:
医药与卫生
出版日期:
2023-06-20

文章信息/Info

Title:
Diagnostic Value of Magnetic Resonance Imaging in Cesarean Section Uterine Scar Pregnancy
作者:
陈虹君 黄 涛 顾安琪
（射阳县人民医院，江苏 盐城 224300）
关键词:
磁共振; 剖宫产; 子宫瘢痕妊娠
Keywords:
magnetic resonance imaging;  cesarean section;  uterine scar pregnancy
文献标志码:
A
摘要:
目的：探究分析在子宫瘢痕妊娠诊断中采取磁共振检查的效果。方法：从2017年7月至2022年7月射阳县人民医院收治的子宫瘢痕妊娠孕妇中抽选49例作为本次研究对象，所有孕妇均经过手术病理证实，且接受磁共振检查，对比不同检查方式检查结果的准确度。结果：磁共振检查诊断准确率为95.92%，与手术病理检查结果差异不大，P＞0.05，差异无统计学意义。结论：在子宫瘢痕妊娠诊断中采取磁共振检查诊断准确率高，可以有效诊断子宫瘢痕妊娠，为后续临床处理提供可信度高的参考数据，值得推广。
Abstract:
Objective: To explore and analyze the effect of magnetic resonance imaging in the diagnosis of uterine scar pregnancy. Methods: 49 pregnant women with uterine scar pregnancy admitted to Sheyang County People’s Hospital from July 2017 to July 2022 were selected as the study subjects. All pregnant women were confirmed by surgery and pathology, and underwent magnetic resonance imaging. The accuracy of different examination methods was compared. Results: The diagnostic accuracy of magnetic resonance imaging was 95.92%, which was not significantly different from the results of surgical pathology (P>0.05), and the difference was not statistically significant. Conclusion: Magnetic resonance examination has a high diagnostic accuracy in the diagnosis of uterine scar pregnancy, which can effectively diagnose uterine scar pregnancy and provide reliable reference data for subsequent clinical treatment, which is worthy of promotion.

参考文献/References:

[1]　HOU J H, LEE T H, WANG S Y, et al. Spontaneous uterine rupture at a non-cesarean section scar site caused by placenta percreta in the early second trimester of gestation: A case report[J]. Taiwanese Journal of Obstetrics and Gynecology, 2021, 60(4): 784-786.[2] 邓静，蒋中灿，刘巍，等. 超声联合MRI动态增强诊断剖宫产术后子宫瘢痕妊娠的临床价值[J]. 贵州医药，2022，46(6): 953-954.[3] HUDGENS J L, HAWORTH L A, ITO T E. A strategic approach to a total laparoscopic hysterectomy for an advanced cesarean section scar ectopic pregnancy with cystotomy repair[J]. Journal of Minimally Invasive Gynecology, 2020, 27(7): S60.[4] 吴东辉，翟志华，沈广林，等. 1.5T磁共振多序列成像对剖宫产术后瘢痕妊娠的诊断价值研究[J]. 中国CT和MRI杂志，2021，19(10): 124-126.[5] JENG C J, LONG C Y, CHUANG L T. Comparison of magnetic resonance-guided high-intensity focused ultrasound with uterine artery embolization for the treatment of uterine myoma: A systematic literature review and Meta-analysis[J]. Taiwanese Journal of Obstetrics and Gynecology, 2020, 59(5): 691-697.[6] 邓旭嵘. 剖宫产术后早期子宫瘢痕妊娠诊断中磁共振成像的应用及准确性、敏感度、特异度探讨[J]. 现代医用影像学，2021，30(6): 1055-1057.[7] MITDUI T, MISHIMA S, OHIRA A, et al. hCG values and gestational sac size as indicators of successful systemic methotrexate treatment in cesarean scar pregnancy[J]. Taiwanese Journal of Obstetrics and Gynecology, 2021, 60(3): 454-457.[8] 刘永玲. 经腹部彩超检查联合经阴道彩超检查在诊断剖宫产子宫瘢痕妊娠中的应用效果[J]. 当代医药论丛，2020，18(9): 180-181.[9] LOU T, GAO Y, FENG Y, et al. Reproductive outcomes of cesarean scar pregnancies pretreated with methotrexate and uterine artery embolization prior to curettage[J]. Taiwanese Journal of Obstetrics and Gynecology, 2020, 59(3): 381-386.[10] 严静，楼叶琳，陈静婉，等. 多途径超声联合检查用于剖宫产子宫瘢痕妊娠分型诊断的临床观察[J]. 中华全科医学，2021，19(3): 463-465，475.[11] LI J, LI H, JIANG J, et al. Dilatation and curettage versus lesion resection in the treatment of cesarean-scar-pregnancy: A systematic review and meta-analysis[J]. Taiwanese Journal of Obstetrics and Gynecology, 2021, 60(3): 412-421.[12] 吕建广，冯绍立，冯阳宁，等. MRI在子宫剖宫产瘢痕妊娠诊断的应用价值研究[J]. 影像研究与医学应用，2020，4(11): 50-52.

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备注/Memo

备注/Memo:
【收稿日期】2022-09-26【作者简介】陈虹君（1990－），女，江苏射阳人，射阳县人民医院主管技师，研究方向为医学影像学。【通信作者】黄涛（1992－），女，江苏射阳人，射阳县人民医院影像医师，研究方向为医学影像学。
更新日期/Last Update: 2023-08-07