38例子宫角部妊娠超声检查分析  

Analysis about sonograms of uterus cornea pregnancy in 38 patients.

作　　者：赵梅[1] 王军梅[1] 

机构地区：[1]浙江大学医学院附属妇产科医院,杭州310006

出　　处：《中国实用妇科与产科杂志》2000年第4期235-236,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨超声检查对子宫角部妊娠的诊断及临床应用价值。方法　对 38例患者超声检查进行回顾性分析。结果　胚囊型 13例 ,在宫腔波即将消失或消失的同时可探及胚囊光环 ,与宫腔相通。不均质包块型8例 ,在突起的宫角内可探及团状不均质回声似蜂窝状结构强弱相间。残留型 17例 ,在突起的宫角内可探及环状暗区间有强回声或团状强回声与宫腔相通。结论　胚囊型易被忽视 ,妊娠早期超声检查可及早发现。不均质包块型易被误诊 ,以经腹超声检查为宜。残留型多因人流不全 ,故人流刮宫术前应常规行超声检查。胚囊型、残留型可在超声指引下行吸刮术。Objective To determine the diagnostic and clinical value of ultrasound examination on uterus cornea pregnancy .Methods 38 patients with cornea pregnancy were retrospectively analyzed according to their sonograms. Results There were three patterns of sonograms.(1)Embryo sac-like pattern:13 cases,echogenic ring of embryo sac connecting with uterus cavity could be detected just before or as soon as uterus cavity wave disappeared. (2)Heterogeneous mass-like pattern:8 cases,honeycomb-like heterogeneous echo could be detected in the protruding cornea.(3)Remnant-like pattern:17 cases,hyperecho or hyperechic mass connecting with cavity could be detected in the protruding cornea,and it mixed with dark circle.Conclusion (1)the embryo sac-like pattern is often misrecognized as normal pregnancy.Routine ultrasound examination at the early stage of pregnancy is useful for early diagnosis .(2)The heterogeneous mass-like type sometimes is misdiagnosed.The accuracy of diagnosis will be improved if transabdominal ultrasound examinations is used.(3)Most remnant-like type is induced by incomplete artificial abortion ,so routine ultrasound examination should be done before artificial abortion.Guided by ultrasound,suction curettage can be done to patients with embryo sac-like or remnant-like pattern

关 键 词：子宫角部妊娠 超声波诊断 B超 

分 类 号：R714.224[医药卫生—妇产科学] R445.1[医药卫生—临床医学]