超声对宫角妊娠的诊断价值研究  

Diagnosis value of ultrasound in cornual pregnancy

作　　者：彭春红[1] 何峥[1] 王盛甲 王华[1] 丁俞江 

机构地区：[1]上海中医药大学附属曙光医院,上海201203 [2]上海浦东新区人民医院,上海201200

出　　处：《生物医学工程与临床》2016年第5期501-504,共4页Biomedical Engineering and Clinical Medicine

基　　金：上海市进一步加快中医药事业发展三年行动计划(2014年-2016年)建设项目;中医药和中西医结合重大基础;临床研究项目

摘　　要：目的探讨超声在宫角妊娠诊断中的价值,以提高对该疾病的诊断水平。方法回顾性分析经手术病理证实的33例女性宫角妊娠超声检查资料,年龄22~42岁,平均年龄31.85岁。旨在总结宫角妊娠声像图特征。结果 33例患者中超声诊断为宫角妊娠22例,诊断正确率为67%（22/33）,7例误诊为宫内妊娠,3例误诊为输卵管间质部妊娠,1例误诊为子宫肌瘤。声像图表现为破裂型、孕囊型、不均质包块型3种。结论超声对宫角妊娠的诊断及鉴别诊断具有重要的价值。Objective To explore the diagnosis value of ultrasound in cornual pregnancy, and improve the diagnosis ability.Methods A total of 33 female patients with cornual pregnancy confirmed by surgery and pathology were enrolled, which aged22- 42 years old with mean age of 31.85 years old. The ultrasonography performance of cornual pregnancy was summaried.Results In the 33 cases, 22 were diagnosed as cornual pregnancy by ultrasonography and the accuracy rate was 67 %（22/33）.Seven misdiagnosed as intrauterine pregnancy, 3 misdiagnosed as interstitial tubal pregnancy and 1 misdiagnosed as uterine fibroids. The performances of ultrasonography were divided into 3 types： ruptured type, gestational sac type and heterogeneous mass type. Conclusion It is demonstrated that ultrasonography plays an important role in diagnosis and differential diagnosis of cornual pregnancy.

关 键 词：超声诊断 声像图 宫角妊娠 

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]