弹性超声在剖宫产瘢痕妊娠中的诊断价值

IF 1.5 Q3 OBSTETRICS & GYNECOLOGY

European Journal of Obstetrics and Gynecology and Reproductive Biology: X Pub Date : 2025-05-16 DOI:10.1016/j.eurox.2025.100399

Ömer Tammo , Esra Söylemez , Enes Çelik , Süleyman Yıldız , Emre Uysal , Yurdagül Tolu Gökhaner , Rahime Kada Düken

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引用次数: 0

摘要

剖宫产疤痕妊娠（CSP）是一种罕见的异位妊娠，胚胎植入以前剖宫产的疤痕。CSP是一种高风险的疾病，可导致严重的并发症，如子宫破裂和危及生命的出血。本研究探讨弹性超声诊断CSP的准确性和可靠性。方法于2023年10月至2024年1月在土耳其马尔丁培训与研究医院进行前瞻性队列研究。该研究包括61例CSP患者和61例妊娠6至12周的单独对照组。两组均采用弹性超声进行评价。结果超声参数应变比、肌层剪切波速、瘢痕硬度对CSP诊断有重要意义。年龄、体重指数、胎次和既往剖宫产次数与弹性超声检查结果无显著相关性。结论弹性超声作为CSP的诊断工具具有良好的应用前景。需要进一步的研究来证实其临床应用。

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The diagnostic potential of elastosonography in cesarean scar pregnancy

Background

Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy where the embryo implants in the scar from a previous cesarean section. CSP is a high-risk condition that can cause serious complications, such as uterine rupture and life-threatening bleeding. This study investigated the accuracy and reliability of elastosonography in diagnosing CSP.

Method

A prospective cohort study was conducted at Mardin Training and Research Hospital (Turkey) between October 2023 and January 2024. The study included 61 patients with CSP and a separate control group of 61 patients, all between 6 and 12 weeks of gestation. Both groups were evaluated using elastosonography.

Results

Elastosonography parameters, including strain ratio, myometrial shear wave velocity, and scar hardness, were significant in diagnosing CSP. Age, BMI, parity, and number of previous cesarean sections did not significantly correlate with elastosonography findings. Beta-hCG and fetal heart rate were not significant diagnostic factor