卵巢妊娠的超声分型及术前超声诊断价值  

The Value of Preoperative Ultrasound Diagnosis and Classification for Ovarian Pregnancy

作　　者：王慧慧 葛玲 孙文荣 王丽华 宋茜 展新风 Wang Huihui;Ge Ling;Sun Wenrong;Wang Lihua;Song Qian;Zhan Xinfeng(Department of Ultrasound,Qilu Hospital of Shangdong University(Qingdao),Qingdao,Shandong 266035,China)

机构地区：[1]山东大学齐鲁医院(青岛)超声科,青岛市266035

出　　处：《中国超声医学杂志》2020年第3期280-283,共4页Chinese Journal of Ultrasound in Medicine

基　　金：山东大学齐鲁医院(青岛)科研启动基金(No.QDKY2015LH03)。

摘　　要：目的探讨卵巢妊娠的超声分型,评估术前超声在卵巢妊娠的诊断和鉴别诊断中的价值。方法对手术及病理证实的14例卵巢妊娠患者进行回顾性研究,根据其超声表现进行分型,并综合分析每一型的鉴别诊断要点。结果根据声像图特征,14例卵巢妊娠可分为两型:破裂型(8例)与未破裂型(6例),后者又可再分为胚囊型(2例)和非均质包块型(4例)。所有未破裂型卵巢妊娠的声像图都有特征性的实性高回声环或包块,其中66.7%(4/6)得以术前经阴道超声诊断。8例破裂型卵巢妊娠的声像图没有特征性的结构和回声,术前超声均诊断为宫外孕破裂或黄体破裂。结论经阴道超声检查对卵巢妊娠的早期诊断十分重要,认识其特征性的超声结构,可以提高术前诊断的准确率。Objective To investigate the value of preoperative ultrasound in the diagnosis and differential diagnosis of ovarian pregnancy(OP).Methods A retrospective study was conducted on 14 patients with OP confirmed by surgery and pathology,and their ultrasonographic manifestations were classified,and the key points of differential diagnosis for each type were analyzed comprehensively.Results According to sonographic features,14 cases of OP can be classified into two types:ruptured type(n=8)and unruptured type(n=6),the latter was subclassified into embryo sac type(n=2)and non-homogeneous mass type(n=4).All the unruptured OP had the characteristic solid hyperechoic rings or masses,and 66.7%(4/6)were correctly diagnosed by preoperative transvaginal ultrasonography.No characteristic ultrasonogram was detected in ruptured OP which were all diagnosed as ruptured tubal pregnancy or corpus luteum.Conclusions Transvaginal ultrasound is very important for the early diagnosis of OP.Knowing its characteristic ultrasonography can improve the accuracy of preoperative diagnosis.

关 键 词：卵巢妊娠 超声分型 超声诊断 

分 类 号：R714.22[医药卫生—妇产科学] R445.1[医药卫生—临床医学]