Head and Neck Imaging

Analysis of CT and Ultrasound in Diagnosis and Treatment of CSP*

Author:ZHANG Xian-huan

affiliation:Department of Ultrasound, The Second People's Hospital of Panzhihua, Panzhihua 617000, Sichuan Province, China

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Abstract

Objective To explore the diagnostic and therapeutic value of CT and ultrasound in cesarean scar pregnancy (CSP). Methods 56 patients with CSP were included in the study. The CT and ultrasound imaging data were retrospective analyzed. The imaging type and and selection of treatment were summarized. The diagnostic value of CT and ultrasound in CSP was evaluated. Results Among the 56 cases with CSP, 40 cases were simple gestational sac type and 16 cases were implantation type. The coincidence rate of ultrasound diagnosis was 91.07% while of CT diagnosis was 87.50%. The accuracy of combined diagnosis was 98.21%; There was no significant difference in accuracy of ultrasound diagnosis alone and CT (P>0.05). Conclusion Ultrasound and CT examination are the effective ways for the diagnosis of CSP. CT has more advantages in diagnosis of gestational sac implantation and blood supply, which can lay imaging foundation for preoperative evaluation and selection of surgical method.

【Keyword】Cesarean Scar Pregnancy; Cesarean Section; CT; Ultrasound; Diagnosis

【Chart number】R714.22

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.08.013