16例输卵管间质部妊娠的超声误诊分析  

Analysis of the sonographic diagnosis error in 16 cases of tubal interstitial pregnancy

作　　者：徐阳[1] 刘智[1] 周爽[1] 

机构地区：[1]上海复旦大学附属妇产科医院超声波室,200011

出　　处：《上海医学影像》2009年第1期36-37,40,共3页Shanghai Medical Imaging

摘　　要：目的探讨输卵管间质部妊娠超声误诊的原因。方法回顾性分析2007年我院就诊被超声误诊为其他疾病而经手术和病理确诊为输卵管间质部妊娠的病人16例。结果16例超声误诊的病例中误诊为浆膜下肌瘤6例,双子宫一侧子宫妊娠的4例,滋养细胞疾病4例,残角子宫2例。结论输卵管间质部妊娠因部位特殊,容易被误诊为其他疾病而延误病情,分析结果提示结合临床病史与超声图像特征分析可减少误诊率,提高超声诊断输卵管间质部妊娠的准确性。Objective To discuss the reasons of tubal interstitial pregnancy diagnosed as other diseases by ultrasound. Methods There were 16 cases of tubal interstitial pregnancy misdiagnosed as other diseases by ultrasound and later confirmed by surgery and pathology in 2007. All the data were analyzed retrospectively. Results Among these 16 cases , 6 cases were thought interpretated as subserous rnyoma, 4 cases as didelphic uterus with one uterine pregnancy, 4 cases as gestational trophoblastic disease and the rest 2 cases as rudimentary horn of the uterus. Conclusions It is easy to confuse the tubal interstitial pregnancy as other diseases for the unusual location of pregnancy. The combination of clinical informations with sonographic characters improves the accuracy of diagnosis with ultrasound.

关 键 词：输卵管妊娠 间质部妊娠 超声 误诊 

分 类 号：R714.221[医药卫生—妇产科学] R445.1[医药卫生—临床医学]