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目的探讨腔内彩超与腔内三维超声联合诊断输卵管间质部妊娠的临床价值。方法对72例经手术病理和临床保守治疗证实为输卵管间质部妊娠的患者超声声像图表现进行分析。重点观察妊娠部位、妊娠包块与子宫内膜的关系、其外周肌层的厚度;彩色多普勒观察妊娠囊或妊娠包块的血供情况。结果 20例间质部妊娠,超声诊断符合率90.0%(18/20),1例笼统诊断为异位妊娠,1例误诊为宫内早孕。结论腔内超声与腔内三维超声联合探查对间质部妊娠具有较高的定位诊断价值。
Objective To investigate the clinical value of intracavitary color Doppler ultrasound and intra-articular three-dimensional ultrasonography in the diagnosis of tubal interstitial pregnancy. Methods The echocardiographic findings of 72 patients with tubal pregnancy confirmed by surgical pathology and clinical conservative treatment were analyzed. Focus on the observation of pregnancy site, the relationship between the mass of pregnancy and the endometrium, the thickness of the peripheral muscle layer; color Doppler observation of pregnancy or hydrocephalus pregnancy mass. Results In 20 cases of interstitial pregnancy, the coincidence rate of ultrasound diagnosis was 90.0% (18/20), one was diagnosed as ectopic pregnancy by general diagnosis, the other was misdiagnosed as early pregnancy by intrauterine pregnancy. Conclusion The combination of intracavitary ultrasound and intracavitary three-dimensional ultrasound has high value in the diagnosis of interstitial pregnancy.