经阴道三维超声诊断Ⅱ型宫角妊娠与输卵管间质部妊娠的价值  

The Value of Transvaginal Three-dimensional Ultrasound in the Diagnosis of TypeⅡCornual Pregnancy and Tubal Interstitial Pregnancy

作　　者：韦兴来[1] 吕微[1] 梁洁梅[1] 孔晓玲[1] 廖丽萍[1] 苏琴 李容 WEI Xinglai;LV Wei;LIANG Jiemei;KONG Xiaoling;LIAO Liping;SU Qin;LI Rong(The First People’s Hospital of Yulin,Yulin 537000,Guangxi,P.R.China)

机构地区：[1]玉林市第一人民医院体检中心,广西玉林537000

出　　处：《影像科学与光化学》2022年第3期474-478,共5页Imaging Science and Photochemistry

基　　金：玉林市科技攻关项目(玉市科20171618)。

摘　　要：本文探讨经阴道三维超声在Ⅱ型宫角妊娠和输卵管间质部妊娠诊断中的应用价值。选取Ⅱ型宫角妊娠者44例,输卵管间质部妊娠38例,分析超声检查与手术病理结果差异。经阴道三维超声诊断输卵管间质部妊娠和宫角妊娠的准确率分别为78.95%和86.36%,差异比较无统计学意义(P>0.05);宫角妊娠超声特征中,病变包块外凸比例明显低于输卵管间质部妊娠(P<0.05),而宫角妊娠宫腔不对称比例明显高于输卵管间质部妊娠(P<0.05);病变位置、宫角肌层对称、边界、周边肌层、子宫内膜连续和间质线征等超声特征中,宫角妊娠和输卵管间质部妊娠比较差异无统计学意义(P>0.05);阴道流血比例,宫角妊娠患者明显高于输卵管间质部妊娠(P<0.05)。经阴道三维超声在Ⅱ型宫角妊娠和输卵管间质部妊娠诊断中有较好的价值。This paper discussed the application value of transvaginal three-dimensional ultrasound in the diagnosis of typeⅡcornual pregnancy and tubal interstitial pregnancy.Chosen 44 cases ofⅡtype cornual pregnancy and 38 cases of tubal interstitial pregnancy to analyzed the differences between the results of ultrasonography and surgical pathology.The accuracy of transvaginal three-dimensional ultrasound in the diagnosis of tubal interstitial pregnancy and cornual pregnancy were 78.95%and 86.36%with difference had no statistically significant(P>0.05).In the ultrasonic features of cornual pregnancy,the proportion of protruding lesion mass was significantly lower than that of tubal interstitial pregnancy(P<0.05),while the proportion of cornual intrauterine asymmetry was significantly higher than that of tubal interstitial pregnancy(P<0.05).There was no significant difference in the ultrasonic characteristics of lesion location,corneal myometrium symmetry,boundary,peripheral muscular layer,endometrial continuity and stromal line sign between uterine horn pregnancy and stromal pregnancy(P>0.05).The proportion of vaginal bleeding in cornual pregnancy was significantly higher than that in tubal interstitial pregnancy(P<0.05).Transvaginal three-dimensional ultrasound has good value in the diagnosis of typeⅡcornual pregnancy and tubal interstitial pregnancy.

关 键 词：超声 宫角妊娠 输卵管间质部妊娠 

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]