宫角妊娠与输卵管间质部妊娠的超声诊断与鉴别诊断.pdfVIP

I缶床论著 宫角妊娠与输卵管间质部妊娠的超声诊断与鉴别 诊断 · 钟洁愉 张蒂荣 北京大学深圳医院超声影像科， 广东 深圳 518036 【摘要】 目的 探讨超声对宫角妊娠与间质部妊娠诊断价值。方法 对近4年来我院37例宫角妊娠及29例间质部妊 娠超声检查结果进行综合分析。结朵 在我院经手术及病理检查报告证实诊断的37例宫角妊娠及29例间质部妊娠， 术前超声诊断准确率为89．3％，有2例术前超声误诊为盆腔炎性包块及纵隔子宫一侧宫腔妊娠，有3例超声诊断为 宫外孕未准确定位，另有2例宫角妊娠与间质部妊娠相互误诊。 结论 超声检查对宫角妊娠与间质部妊娠有较高的 诊断率，可以为lI占床医生提供有价值的诊断信息。 【关键词】宫角妊娠：输卵管间质部妊娠；超声检查 【中图分类号】R445．1；R71 4．224；R714．221 【文献标识码】A 【文章编号】1 009—32 57(2 008)01-001 5-03 Diagnosis and differential diagnosis of cornual pregnancy and interstitial tubal pregnancy with ultrasonography ZHONG JiP yu，ZHANG Di-rong．Department of Ultrasound，Peking University Shenzhen Hospital，Shenzhen，518036，China 【Abstract】 Ob／ective To study the diagnostic value of cornual pregnancy and tubal pregnancy with ultrasound． Methods A comprehensive analysis was made about the ultrasound findings of 37 cases of comual pregnancy and 29 cases of interstitial tubal pregnancy over the past four years in our hospita1． Resu／ts About the cases confirmed by the surgery and pathologic examination．the diagnostic accuracy of preoperative ultrasonography was 89．3％．TwO cases were misdiagnosed as pelvic inflammatory disease mass and the septus uterus with one side intrauterine pregnancy， three cases of ectopic pregnancy were not accurately positioned．and two cases ofcornual pregnancy and tubal pregnancy were mutual misdiagnosis． Conclusion Ultrasonography is of great value to diagnosing cornual pregnancy and interstitial tubal pregnancy．it can provide valuable diagnostic information for clinicians． 【Key words]cornual pregnancy l interstitial tubal pregnancy l ultras0n0graphy 2．魏莉萍，湛秀兰，李美光，等．阴道超声在异位妊娠中的诊断 5．胡于凤，唐新 彩色多普勒超声对未破裂宫外孕的诊断价值 价值[J]．中国临床医学影像杂志，2001，l2(2)：140—141． [J]．临床超声医学杂志，2007，9(2)：97-99． 3．高丽萍．经阴道超声检查在异位妊娠诊断中的价值[J]．临床超 6．赵莉，郭红梅，杨春风，等．经阴道超声在妇科急腹症中的应 声医学杂志，2007，9(4)：242-2