子宫颈妊娠的声像图及临床资料分析  

Ultrasonograms and clinical analysis of cervical ectopic pregnancy

作　　者：陈萍[1] 徐惠英[1] 常才[2] 李瑾[1] 

机构地区：[1]上海市第一妇婴保健院超声室,200040 [2]上海复旦大学附属肿瘤医院超声诊断科

出　　处：《中华医学超声杂志（电子版）》2007年第1期48-50,共3页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨超声在子宫颈妊娠诊断及临床应用中的价值。方法回顾性分析7例子宫颈妊娠患者的超声图像特征及其临床资料。结果7例子宫颈妊娠除1例在术后再次超声检查时确诊外,其余均为超声首次诊断。子宫颈妊娠图像特征:宫腔内未见妊娠囊,子宫颈内口关闭,子宫颈管内见不规则妊娠囊或回声紊乱区,彩色血流信号丰富。结论经阴道及腹部超声联合彩色多普勒超声诊断子宫颈妊娠准确率高,可为临床及时处理和早期保守治疗提供可靠的诊断依据,使患者保留生育功能,减少病死率。Objective To explore the clinical application of ultrasonography and its value in the diagnosis of cervical ectopic pregnancy. Methods Seven cases of cervical ectopic pregnancy were reviewed retrospectively to analyze the ultrasonogram features and clinical data. Results Cervical ectopic pregnancy in 6 cases was first confirmed on ultrasonography and 1 with suspected cervical ectopic pregnancy was finally diagnosed on ultrasonography after operation. The image characteristics of cervical pregnancy included absence of the gestational sac in the uterine cavity, closed cervical internal os, irregular gestational sac or diffuse amorphous echoes in the cervical canal with extensive colour blood flow. Conclusions High-resolution transvaginal and transabdominal ultrasonography coupled with colour Doppler ustrasound can achieve a higher diagnostic accuracy in cervical ectopic pregnancy, which facilitates the earlier diagnosis and nonsurgical treatment (or conservative treatment). As a result, it is a more reliable method to reduce the associated morbidity and mortality and to preserve future fertility.

关 键 词：异位妊娠 超声检查 

分 类 号：R714.22[医药卫生—妇产科学]