少见部位异位妊娠超声漏误诊分析  

Analysis of misdiagnosis and missed diagnosis of rare ectopic pregnancy by ultrasound

作　　者：肖春梅[1] 唐静[1] 董虹美[1] 沈洁[1] 郝丽娟[2] 冉素真[1] XIAO Chunmei;TANG Jing;DONG Hongmei;SHEN Jie;HAO Lijuan;RAN Suzhen(Department of Ultrasound,Chongqing Health Center for Women and Children,Chongqing 400021,China)

机构地区：[1]重庆市妇幼保健院超声科,重庆市400021 [2]重庆市妇幼保健院生殖内分泌科,重庆市400021

出　　处：《临床超声医学杂志》2019年第4期291-293,共3页Journal of Clinical Ultrasound in Medicine

基　　金：重庆市卫生局医学科研计划项目(2012-2-202)

摘　　要：目的分析少见部位异位妊娠的超声特征及漏误诊原因。方法回顾性分析经手术病理证实的325例少见部位异位妊娠的超声检查资料,分析漏误诊原因。结果 121例输卵管间质部妊娠,超声准确诊断116例,误诊4例,漏诊1例;38例子宫角妊娠超声准确诊断32例,误诊5例,漏诊1例;6例宫颈妊娠超声准确诊断4例,误诊2例;5例盆腔妊娠超声准确诊断4例,漏诊1例;3例肌壁间妊娠超声准确诊断2例,误诊1例。122例子宫瘢痕处妊娠、24例卵巢妊娠、3例残角子宫及3例腹腔妊娠超声均准确诊断。结论少见部位异位妊娠临床少见,掌握其声像图特征有助于提高诊断准确率。Objective To analyze the ultrasound imaging features and the reasons of misdiagnosis and missed diagnosis of ectopic pregnancy occurred in rare location. Methods The ultrasound imaging features of 325 patients who were diagnosed with rare ectopic pregnancy by surgical pathology were analyzed in this study,and the reasons of misdiagnosis and missed diagnosis were discussed. Results One hundred and sixteen of 121 cases were correctly diagnosed as interstitial tubal pregnancy by ultrasonography,4 cases were misdiagnosis,1 case was missed diagnosis. Thirty-two of 38 cases were correctly diagnosed as horn pregnancy by ultrasonography,5 cases were misdiagnosed,1 case was missed diagnosis. Four of 6 cases were correctly diagnosed a cervical pregnancy,2 cases were misdiagnosed. Four of 5 cases were correctly diagnosed as pelvic pregnancy,1 case was missed diagnosis. Two of 3 cases were correctly diagnosed as Intermuscular pregnancy,1 case was misdiagnosed. 122 cases of uterine scar pregnancy,24 cases of ovarian pregnancy,3 cases of rudimentary uterine horn pregnancy and 3 cases of abdominal pregnancy were all correctly diagnosed by ultrasonography. Conclusion The detection rate might be improved by fully understanding the ultrasonographic features.

关 键 词：超声检查 多普勒 彩色 异位妊娠 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.2[医药卫生—诊断学]