罕见部位异位妊娠的超声诊断  

Sonographic Analysis of Unusual Site Ectopic Pregnancy

作　　者：田雨[1] 杨太珠[1] 罗红[1] 杨帆[1] 

机构地区：[1]四川大学华西第二医院,四川成都610041

出　　处：《实用妇产科杂志》2011年第2期118-120,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:分析和总结罕见部位异位妊娠的超声图像特点。方法:采用回顾性方法分析腹腔妊娠、残角子宫妊娠、卵巢妊娠、子宫肌壁妊娠的二维、彩色多普勒超声图像,与手术及病理结果对照分析。结果:腹腔妊娠表现为子宫腔空虚,腹腔内可见胎儿回声;残角子宫妊娠表现孕囊周围可见肌层回声,其旁可见正常子宫声像;卵巢妊娠未发生破裂时典型特征卵巢上可见孕囊回声;子宫肌壁妊娠术前超声确诊困难,需靠病理才能确诊。结论:掌握罕见部位异位妊娠的声像图特点,可提高超声对异位妊娠的诊断能力。Objective：To analyze the sonographic features of unusual site ectopic pregnancy. Methods：Retrospective review was done to analyze the coinsistance of 2D,color Doppler flow imaging and pulse Doppler imaging and operative or pathological results in diagnosing abdominal,rudimentary uterine horn,ovarian and intramural pregnancy. Results：Abdominal pregnancy had the features of empty uterus and fetus in the abdomen. Rudimentary uterine horn pregnancy had the feature of gestation sac surrounded by the myometrium beside the uterus. Unruptured ovarian pregnancy had the feature of gestation sac in the ovary. While,intramural pregnancy was difficult to diagnose before operation,which mainly relied on pathology diagnosis. Conclusions：The diagnostic accuracy of unusual site pregnancy by ultrasound can be improved through mastering the features of sonograpy imaging.

关 键 词：超声诊断 腹腔妊娠 残角子宫妊娠 卵巢妊娠 子宫肌壁妊娠 

分 类 号：R714.22[医药卫生—妇产科学]