疤痕妊娠的超声误诊分析  

Analysis of Ultrasound Misdiagnosis of Scar Pregnancy

作　　者：洪蜜蜜 李岩[1] HONG Mi-mi;LI Yan(Department of Ultrasound Medicine,Women’s and Children’s Hospital of Xiamen University,Fujian Xiamen 361000)

机构地区：[1]厦门大学附属妇女儿童医院超声医学科,福建厦门361000

出　　处：《中国医疗器械信息》2021年第2期107-108,共2页China Medical Device Information

摘　　要：目的:为降低疤痕妊娠超声诊断的误诊率,分析疤痕妊娠误诊患者和确诊患者超声图像,总结诊断经验。方法:回顾分析88例确诊和21例误诊的超声图像特征和临床资料。结果:确诊组和漏诊组的临床孕周、有无腹痛、阴道流血症状对比无统计学意义;超声检查途径、妊娠囊大小比较有统计学意义。妊娠囊形态异常是诊断率最高的超声征象。结论:选择经阴道探查,粘连严重时联合经腹部探查,观察妊娠囊或囊腔形态是否异常,能提高初诊检查者的敏感度,反复检查,观察疤痕处绒毛植入、滋养血流信号能尽量避免疤痕妊娠的误诊。Objective:In order to reduce the misdiagnosis rate of ultrasound diagnosis of scar pregnancy,the ultrasound images of misdiagnosed patients and diagnosed patients were compared and analyzed,and the diagnosis experience was summarized.Methods:The ultrasonographic features and clinical data of 88 cases of confirmed diagnosis and 21 cases of misdiagnosis were retrospectively analyzed.Results:The clinical gestational weeks,abdominal pain and vaginal bleeding symptoms of the two groups were not statistically significant;ultrasound examination methods and gestational sac size were statistically significant.Abnormal gestational sac morphology is the highest diagnostic rate of ultrasound signs.Conclusion:Transvaginal exploration,combined with abdominal exploration when adhesion is serious,can improve the sensitivity of the initial diagnosis examiners,and repeatedly examinate and observe the implantation of villi in scar and nourishing blood flow signals can avoid the misdiagnosis of scar pregnancy.

关 键 词：疤痕妊娠 误诊 绒毛植入 

分 类 号：R445.1[医药卫生—影像医学与核医学]