超声检查在宫角妊娠和间质部妊娠定位诊断中的应用  

Application of ultrasonography in the locating diagnosis of uterus cornea pregnancy and tubal interstitial pregnancy

作　　者：吴丽霞[1] 罗友[2] 魏春英[3] 杨桂兰[1] WU Li-xia LUO You WEI Chun-ying YANG Gui-lan(Department of Ultrasound ,Bazhong Central Hospital ,Bazhong Sichuan 636000 Department of Obstetrics, Chengdu Western District Hospital, Chengdu Sichuan 610036 Department of Ultrasound, Quxian People＇s Hospital, Quxian Sichuan 635200, China)

机构地区：[1]四川省巴中市中心医院超声科,636000 [2]四川省成都市西区医院产科,610036 [3]四川省渠县人民医院超声科,635200

出　　处：《蚌埠医学院学报》2017年第3期374-375,378,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨超声检查在宫角妊娠和输卵管间质部妊娠早期定位诊断中的价值。方法:分析41例宫角妊娠或间质部妊娠病人的超声声像图特点,随访临床结果。结果:41例病人中,术后诊断为宫角妊娠27例,间质部妊娠14例,超声检查正确诊断35例,准确率为85.37%(35/41)。27例宫角妊娠中,24例行手术治疗;超声随访下,3例宫角妊娠转为宫内妊娠,其中2例早期发生流产,1例妊娠至足月分娩,产后发生胎盘滞留。14例间质部妊娠均在腹腔镜下手术治疗。结论:超声检查定位诊断宫角妊娠和间质部妊娠的准确性较高,选择经阴道超声可提高鉴别准确性,对临床治疗方案的选择具有重要指导意义。Objective ：To explore the application value of the ultrasonography in early locating diagnosis of uterus cornea pregnancy and tubal interstitial pregnancy. Methods： The uhrasonographic characteristics of uterus cornea pregnancy and tubal interstitial pregnancy in 41 cases were analyzed. All patients were followed up. Results： Among 41 patients, the uterus cornea pregnancy in 27 cases and interstitial pregnancy in 14 cases were identified. Thirty-five cases were rightly diagnosed, the accuracy rate of which was 85.37% （35/41）. Among 27 cases with uterus cornea pregnancy, 24 cases were operated, and 3 cases were converted to intrauterine pregnancy,which included 2 cases of early abortion, and 1 ease of term birth and postpartum placental retention. Fourteen cases with interstitial pregnancy were treated with laparoscopic operation. Conclusions：The uhrasonography in locating diagnosis of uterus cornea pregnancy and tubal interstitial pregnancy has high accuracy, transvaginal sonography can improve the accuracy of differential diagnosis, which play important guiding significance for the choice of clinical treatment.

关 键 词：宫角妊娠 间质部妊娠 超声检查 

分 类 号：R714.224[医药卫生—妇产科学]