经阴道三维超声对子宫肌壁间妊娠的诊断价值  

Diagnosis value of uterine intramural pregnancy by transvaginal three-dimensional ultrasonography

作　　者：张斌 董虹美[1] 冉素真[1] 唐静[1] ZHANG Bin;DONG Hongmei;RAN Suzhen;TANG Jing(Department of Ultrasound,Chongqing Health Center for Women and Children,Chongqing 401120,China)

机构地区：[1]重庆市妇幼保健院超声科,401120

出　　处：《临床超声医学杂志》2019年第1期65-67,共3页Journal of Clinical Ultrasound in Medicine

基　　金：重庆市卫生计生委2016年医学科研计划项目(2016MSXM096)

摘　　要：目的总结子宫肌壁间妊娠的声像图特征,初步探讨经阴道三维超声对其诊断的可行性。方法回顾分析4例子宫肌壁间妊娠患者的经阴道三维超声检查结果,总结其声像图特征。结果 4例患者中3例经阴道三维超声准确诊断,1例常规超声首诊误诊为宫角妊娠,经阴道三维超声复查后提示子宫肌壁间妊娠。4例肌壁间妊娠患者声像图特征表现为:子宫肌层内见妊娠囊或包块,其内部及周边见点状或丰富血流信号;经阴道三维超声示其与宫腔及输卵管间质部均不相通。结论经阴道三维超声对子宫肌壁间妊娠的诊断有潜在临床应用价值。Objective To summarize the ultrasonographic characteristics of uterine intermuscular pregnancy,and preliminarily explore the feasibility of transvaginal three-dimensional ultrasound in diagnosing uterine intermuscular pregnancy.Methods The results of transvaginal three-dimensional ultrasound examination of 4 cases of uterine intermuscular pregnancy were retrospectively analyzed,and their ultrasonographic characteristics were summarized.Resutls Among the 4 patients,3 cases were diagnosed accurately by transvaginal three-dimensional ultrasound,1 case was misdiagnosed as cornual pregnancy by conventional ultrasound at the first diagnosis,then the transvaginal three-dimensional ultrasound re-examination revealed intermuscular pregnancy.The ultrasonographic features of 4 cases of intermuscular pregnancy were as follows:gestational sac or mass was seen in myometrium of uterus,punctiform or abundant blood flow signals were seen in and around it.Transvaginal threedimensional ultrasound showed that it was not communicated with uterine cavity and interstitial part of fallopian tube.Conclusion Transvaginal three-dimensional ultrasound has potential clinical application value in the diagnosis of uterine intermuscular pregnancy.

关 键 词：超声检查 三维 经阴道 肌壁间妊娠 子宫 

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]