子宫角妊娠与输卵管间质部妊娠的超声诊断及鉴别诊断分析

发布时间：2018-04-05 20:25

  本文选题：妊娠　切入点：异位　出处：《福建医科大学学报》2016年02期

【摘要】：目的总结子宫角妊娠与输卵管间质部妊娠声像图特点及鉴别诊断意义。方法对手术及病理检查证实的48例子宫角妊娠和41例间质部妊娠的声像图进行回顾性分析。结果子宫角妊娠与间质部妊娠声像图均表现为妊娠囊或包块位于一侧子宫角部,或靠近子宫角部的附件区,二者在包块与子宫角之间是否有切迹、包块与子宫腔是否相邻及是否存在间质线征的表现上比较,差别无统计学意义(P0.05);而子宫角妊娠包块周边具有完整肌层组织包绕的发生率要多于间质部妊娠(χ2=5.27,P0.05)。超声引导或腹腔镜监视下清宫术获得成功的患者,其包块周边有略厚而完整的肌层组织包绕,较切开取胚、子宫角或间质部切除的患者多见(χ2=15.63,P0.05)。结论子宫角妊娠与间质部妊娠超声主要鉴别点为妊娠包块周边是否有完整的肌层包绕,包块周围有略厚的肌层包绕是选择清宫术主要指标之一。
[Abstract]:Objective to summarize and interstitial tubal pregnancy sonographic features and differential diagnosis of cornual pregnancy. Methods of surgery and pathological examination confirmed 48 cases of cornual pregnancy and 41 cases of interstitial pregnancy were retrospectively analyzed. The sonographic results of cornual pregnancy and interstitial pregnancy sonogram showed gestational sac or bag piece is located on the side of the horn of uterus, uterus or near the corner of the attachment area, whether the two notch between the mass and the uterine horns, the mass and the uterine cavity is adjacent and whether there are more interstitial line sign performance, the difference was not statistically significant (P0.05); and the uterine horn pregnancy bag piece the surrounding muscle tissue has a complete package of more than around the incidence of interstitial pregnancy (2=5.27, P0.05). Ultrasound guided curettage or laparoscopic monitoring the success of the patients, the masses surrounding muscle tissue wrapped slightly thick and intact, was cut open to take the embryo, The patients with hysterectomy or interstitial resection were mostly seen (chi 2=15.63, P0.05). Conclusion the main point of ultrasound diagnosis of uterine horn pregnancy and interstitial pregnancy is whether there is a complete muscular layer around the pregnant mass. There is a thick muscular layer around the package, which is one of the main indicators of curettage.

【作者单位】： 福建医科大学附属漳州市医院超声科;福建医科大学附属第二医院超声科;
【分类号】：R714.22;R445.1

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本文编号：1716325