彩色多普勒超声诊断宫内妊娠合并宫外妊娠的临床价值

发布时间：2018-02-14 15:35

本文关键词： 异位妊娠宫内妊娠合并宫外妊娠彩色普勒超声　出处：《东南大学学报(医学版)》2015年03期 　论文类型：期刊论文

【摘要】：目的:探讨彩色多普勒超声检查对宫内妊娠合并宫外妊娠的诊断价值。方法:回顾分析2010年1月至2013年12月收治的19例体外受精-胚胎移植术后临床诊断为宫内妊娠合并宫外妊娠患者的术前彩色多普勒超声图像特征,并随访其预后。结果:19例患者中,术前超声诊断为宫内妊娠合并宫外妊娠18例(合并宫角妊娠8例,合并输卵管妊娠10例),1例漏诊。19例患者均住院手术治疗并进行随访,其中13例宫内妊娠已分娩或继续妊娠,2例行手术终止妊娠(1例因胚胎枯萎行手术终止妊娠,1例因难免流产行手术终止妊娠),2例自然流产,2例失访。结论:彩色多普勒超声对诊断宫内妊娠合并宫外妊娠有重要价值,能够及早发现宫内妊娠合并宫外妊娠并指导临床处理。
[Abstract]:Objective: to evaluate the diagnostic value of color Doppler ultrasonography in intrauterine pregnancy complicated with extrauterine pregnancy. Methods: from January 2010 to December 2013, 19 cases of intrauterine pregnancy after in vitro fertilization and embryo transfer were analyzed retrospectively. Characteristics of preoperative Color Doppler Ultrasonography in patients with pregnancy complicated with Extrauterine pregnancy. Results 18 cases of intrauterine pregnancy combined with extrauterine pregnancy (8 cases complicated with uterine horn pregnancy and 1 case of missed diagnosis of tubal pregnancy) were diagnosed as intrauterine pregnancy and extrauterine pregnancy by ultrasound before operation. 13 cases of intrauterine pregnancy have been delivered or 2 cases of continuous pregnancy have been terminated by operation. One case of pregnancy termination due to embryo wilt and one case of pregnancy termination due to inevitable abortion 2 cases of spontaneous abortion. Conclusion: color more than 2 cases. Pullersonography is of great value in the diagnosis of intrauterine pregnancy combined with extrauterine pregnancy. Early detection of intrauterine pregnancy combined with extrauterine pregnancy and guidance of clinical management.
【作者单位】：江苏省产前诊断中心;南京大学医学院附属鼓楼医院妇产科;
【分类号】：R445.1;R714

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