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目的:研究超声在宫角妊娠中的应用价值。方法:回顾性分析2013年1月-12月我院超声首诊为可疑的宫角妊者22例的超声诊断资料。结果:本组22例超声首诊可疑的宫角妊娠病例经复查及手术病理证实13例中,首诊正确率69.2%;9例包块型中首诊正确率44.4%。动态观察1周后进行超声复诊,妊娠囊型诊断正确率提高至84.6%,包块型者诊断正确率提高至66.7%。结论:针对首诊为可疑的妊娠囊型的宫角妊娠者建议给予复诊,从而提高诊断率;但是对于包块型宫角妊娠者则复诊鉴别诊断相对较困难。
Objective: To study the value of ultrasound in uterine horn pregnancy. Methods: A retrospective analysis of January 2013 to December in our hospital for the first diagnosis of uterine hormones in 22 cases of ultrasound diagnostic data. Results: In the group of 22 cases suspected of uterine horn pregnancy by ultrasound examination and surgical pathology confirmed 13 cases, the first diagnosis was 69.2%; 9 cases of mass in the first diagnosis was 44.4%. Dynamic follow-up 1 week after ultrasound diagnosis, gestational sac-type diagnosis accuracy rate increased to 84.6%, mass diagnostic accuracy rate increased to 66.7%. Conclusion: It is recommended to give referral for pregnant women with gestational cystic glandular first diagnosis, so as to improve the diagnosis rate. However, it is relatively difficult to diagnose differential diagnosis of pregnant women with massive uterine horn.