彩色多普勒超声对卵巢妊娠的诊断价值  

Diagnostic value of color Doppler ultrasound for ovarian pregnancy

作　　者：卢菁菁[1] 乔丽[1] 何立红[1] 冯明初[1] 

机构地区：[1]南方医科大学附属中山市博爱医院超声科,528400

出　　处：《中国实用医药》2016年第18期44-45,共2页China Practical Medicine

摘　　要：目的分析卵巢妊娠的超声图像特点,总结漏诊及误诊原因。方法回顾性分析28例卵巢妊娠的临床表现及实验室检查资料,总结彩色多普勒超声图像特点。结果本组卵巢妊娠28例,经阴道超声术前明确诊断3例,确诊率为10.7%。误诊25例,其中阴道超声诊断为输卵管妊娠22例,另3例同时伴有宫内妊娠,将卵巢妊娠误诊为妊娠黄体(其中1例伴有宫内妊娠及对侧输卵管妊娠)。结论卵巢妊娠在临床表现及体症与输卵管妊娠、黄体破裂相似,其声像图也极为相似。经阴道彩色多普勒超声结合多角度、按压手法及实验室检查可提高卵巢妊娠的诊断率,尤其是对早期卵巢妊娠的诊断具有重要的临床应用价值。Objective To analyze ultrasonic image characteristics of ovarian pregnancy, and to summarize causes of misdiagnosis. Methods A retrospective analysis was made on clinical manifestations and laboratory examination data of 28 ovarian pregnancy cases, and features of color Doppler ultrasound were summarized. Results Among the 28 ovarian pregnancy cases, there were 3 diagnosed cases by transvaginal ultrasound before operation, with the diagnosis rate as 10.7%. Among 25 misdiagnosed cases, 22 cases were diagnosed by transvaginal ultrasound as tubal pregnancy, the other 3 cases complicating with uterine pregnancy were misdiagnosed as corpus luteum of pregnancy（1 case of them had complicated uterine pregnancy and contralateral tubal pregnancy）. Conclusion Ovarian pregnancy contains similar clinical manifestations and ultrasound image as tubal pregnancy and rupture of corpus luteum. Combination of transvaginal color Doppler ultrasound, multi-angle press and laboratory examination can improve diagnosis rate of ovarian pregnancy, and it contains extremely important value for clinical application in diagnosis of early ovarian pregnancy.

关 键 词：超声检查 卵巢妊娠 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]