超声诊断孕期宫腔内局限性隔膜样结构  

Ultrasonic diagnosis on the limited septated structure in uterine cavity of pregnancy

作　　者：吕康泰[1] 徐倩君[1] 查文[1] 王维英[1] 王咏梅[1] 杨大震[2] 阮红杰[2] 

机构地区：[1]南京市妇幼保健院超声科,江苏南京210004 [2]南京市妇幼保健院妇产科,江苏南京210004

出　　处：《中国医学影像技术》2012年第2期332-335,共4页Chinese Journal of Medical Imaging Technology

基　　金：南京市医学科技发展项目(YKK10033);南京医科大学科技发展基金重点项目(08NMUZ034)

摘　　要：目的探讨孕期宫腔内局限性分隔结构的声像特点及超声诊断价值。方法结合组织病理学表现,回顾性分析155胎宫腔内局限性隔膜样结构的超声表现。结果孕期宫腔内呈条带样、嵴样局限性分隔羊膜腔的结构主要源于宫腔粘连和单纯羊膜粘连皱褶。宫腔粘连隔带较粗大,有张力,并可探及静脉为主的血流显像。而单纯羊膜粘连皱褶则以隔膜带纤薄光滑、张力差、无血流显像为主要特征。结论超声鉴别诊断隔膜样结构可补充产前超声检查信息,具有重要临床意义。Objective To explore the image characteristics and ultrasonic diagnosis value of the limited septated structure in uterine cavity of pregnancy.Methods Combined with organizational analysis,ultrasonic manifestations of 155 fetuses with limited septated structure in uterine cavity were summarized.Results The strip length pattern of the uterine cavity in pregnancy,and the crista pattern of limitation separated amniotic cavity was mainly because of the intrauterine adhesion and amniotic adhesion reductus.The belt of intrauterine adhesion was very thick and big,full of tensile force,and venous blood flow imaging was explored.However,the dissociated amnion crease was characterized as thin and smooth membrane belt,weak tensile force,without blood visualization.Conclusion Ultrasonic diagnosis of the septated structure complements the ultrasonic information in pregnancy,and has very significant clinical value.

关 键 词：超声检查 产前 隔膜样结构 宫腔粘连 羊膜皱褶 不全纵隔 轮廓状胎盘 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]