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目的:总结孕早期间质部妊娠与宫角部妊娠超声表现特点并对其进行鉴别分析。方法:首先,采用超声检查法,膀胱充满时进行常规腹部扫查。然后,患者排空膀胱后进行阴道超声检查。最后,利用频谱多普勒和彩色多普勒仪器,检查妊娠囊样不均质包块和妊娠囊表面及内部是否出现心管搏动现象。结果:超声波检查显示6例(实际为5例)患者为宫角部妊娠,经过人工流产后进行检查,其中1例此种情况不够清晰,但超声检查结果仍显示为宫角妊娠。经过临床证实,该病例实际是间质部妊娠。4例(实际为5例)患者为间质部妊娠,其中1例血流状况活跃。结论:经腹超声检查联合阴道超声检查对鉴别孕早期间质部妊娠和宫角部妊娠具有重要意义。
OBJECTIVE: To summarize and characterize the ultrasound features of interstitial pregnancy and uterine horn pregnancy in early pregnancy. Methods: First, using ultrasound examination, when the bladder full of conventional abdominal scanning. The patient then underwent vaginal ultrasound examination after emptying the bladder. Finally, the use of spectral Doppler and color Doppler apparatus, check the pregnant sac like heterogeneous mass and gestational sac surface and internal cardiac beating phenomenon. Results: Ultrasonography showed that in 6 cases (actually 5 cases), the pregnancy of the uterine horn was performed. After artificial abortion, one case was not clear enough, but the result of ultrasound examination was still showed as uterine horn pregnancy. After clinical confirmed that the case is actually interstitial pregnancy. Four patients (actually five) had interstitial pregnancy, and one had an active bloodstream. Conclusion: Transabdominal ultrasonography combined with vaginal ultrasound examination of early pregnancy interstitial pregnancy and palace corner pregnancy is of great significance.