摘要
目的探讨输卵管间质部、宫角、宫颈及子宫瘢痕处异位妊娠病灶的超声图像特征。方法采用常规腹部超声及经阴道超声对94例临床疑诊为异位妊娠的患者进行检查,并与手术后病理诊断结果进行对照分析。结果病理诊断证实94例异位妊娠患者中输卵管间质部妊娠33例,宫角妊娠24例,宫颈妊娠12例,子宫瘢痕处妊娠25例。术前常规超声及经阴道超声诊断异位妊娠与病理诊断符合87例(92.6%,87/94),误诊7例(7.4%,7/94)。其中诊断输卵管间质部妊娠30例(30/33,3例宫角妊娠误诊为输卵管间质部妊娠),诊断宫角妊娠20例(20/24,4例输卵管间质部妊娠误诊为宫角妊娠),诊断宫颈妊娠12例(12/12),诊断子宫瘢痕处妊娠25例(25/25)。结论超声检查在少见部位异位妊娠诊断与鉴别诊断中有重要作用。
Objective To discuss the characteristics of interstitial tubal pregnancy,uterine corneal pregnancy,cervical pregnancy and cesarern scar pregnancy by ultrasonography.Methods Trans-abdominal and trans-virginal ultrasound were performed in 94 patients for clinical diagnosis of ectopic pregnancy and contrasting analysis of surgical and pathologic findings.Results A total of 32 cases of interstitial tubal pregnancy,25 cases of uterine corneal pregnancy,12 cases of cervical pregnancy and 25 cases of cesarern scar pregnancy were diagnosed by the trans-abdominal and trans-virginal ultrasound,while in contrast with pathological diagnosis,87 cases(92.6%,87/94)were accurately diagnosed by ultrasonography,and 7 cases were misdiagnosed(7.4%,7/94,3 cases of uterine corneal pregnancy misdiagnosed as interstitial tubal pregnancy,4 cases interstitial tubal pregnancy misdiagnosed as uterine corneal pregnancy).Conclusion Ultrasonography has an important role in diagnosis and differential diagnosis of special ectopic pregnancy.
出处
《中华医学超声杂志（电子版）》
2011年第11期2366-2371,共6页
Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词
超声检查
异位妊娠
鉴别诊断
Ultrasonography
Ectopic pregnancy
Differential diagnosis
