早期宫内妊娠超声误诊为异位妊娠分析

目的:回顾性分析初次超声提示为异位妊娠,3～7d后复查为宫内早早孕患者的声像图特点及临床资料,提高超声早期宫内妊娠诊断的准确性。方法:对我院2008年1月-2010年12月早期宫内妊娠超声误诊为异位妊娠10例患者的临床资料及超声图像特点进行分析。结果:10例患者均行阴道彩色多普勒超声检查,初次超声发现附件区小包块,尿HCG阳性或弱阳性,宫内未见妊娠囊,提示为异位妊娠,经密切动态观察病情,3～7d后复查为宫内早早孕。结论:对停经后HCG检查阳性,附件包块小,无明显急腹症患者应结合临床资料,仔细分析超声图像特点,避免误诊。

Ultrasonic Misdiagnosis of Early Pregnancy to Ectopic Pregnancy

Objective:Retrospective analysis was performed to improve the accuracy of ultrasonic diagnosis of early intra-uterus pregnancy.Methods:Analyse the clinical data and ultrasonic feature of the 10 cases early intra-uterus pregnancy that were misdiagnosed as ectopic pregnancy from January 2008 to December 2010.Results:Color doppler ultrasound was performed in the 10 patients.There was small mass on the accessory and no sac in the uterine cavity with urine HCG positive or weak positive,which hint ectopic pregnancy.After 3 to 7 days,early intra-uterus pregnancy was found with ultrasound.Conclusion:For these patients with HCG positive,small accessory mass after menopause and without acute abdominal syndrome,we should analyse the ultrasonic feature clearly with clinical material and avoid misdiagnosing.