B超诊断纵膈子宫单侧双胎妊娠1例

患者,女,28岁。停经45天,尿妊娠试验阳性,在外单位行人流术吸空后来诊。B超显示:宫体略增大,横切面宫底部可见二组独立的内膜回声(图1左幅),中间隔有肌层回声,从宫颈至宫底方向做连续横切扫查,可见子宫内膜呈“Y”型分离;于宫体左侧内膜内分别可见 9.6mm×6.9mm,7.8mm×5.6mm大小相邻的液性暗区(孕囊、图1右幅),宫体右侧内膜     

B超诊断输卵管双胎妊娠1例

患者 ,31岁。停经 4 2天 ,不规则少量阴道流血 10天 ,无腹痛。血 HCG14360 .4 IU/ L。 5年前人流一次 ,至今未孕。B超示 :子宫前位大 6.5 cm× 6.4 cm× 4 .6cm,宫颈长 2 .7cm,内膜厚 0 .8cm,双卵巢常大无异常发现 ,左卵巢旁及二个孕囊回声 ,孕囊 1直径 1.2cm,内见少许胚芽及心搏动 ,心率 140次 / min,同时及卵黄囊 ,直径 0 .4 cm;孕囊 2直径 1.1cm,内未见胚牙 ,及卵黄囊直径 0 .4 cm;盆腔未见积液。提示 :左输卵管妊娠双孕囊 (图 1)。次日 ,行腹腔镜下患侧输卵管切开取胚术 ,术中LOV:左卵巢 ;GSI:胎囊 1 ;GS2 :胎囊 2图 1　输卵管双…     

B超诊断晚期妊娠合并巨大子宫肌瘤1例

孕妇,30岁。孕1产0,妊娠38周,超声检查所见:胎头位于耻骨联合上,颅骨光环完整,脑中线居中,双顶径9.0cm,股骨长7.0cm,胎心率143次/min,律整,羊水深度4.2cm,胎盘位于子宫前壁,胎盘功能级,于子宫前壁处见一大小约13.0cm×11.8cm×8.4cm实性低回声光团(图1)边界较清晰。B超诊断:宫内单活胎合并子宫肌瘤。行子宫下段剖宫产加子宫肌瘤剔除术,术中所见:产下一男活婴,胎儿未见异常,子宫下段前壁处见一约14.2cm×12.0cm×8.5cm的肿物,外壁光滑,质稍软,暗红色。病理诊断为:子宫肌瘤红色样变性。讨论单纯的子宫肌瘤临床比较常见,晚期妊娠合并子宫肌瘤…     

超声诊断巨大葡萄胎合并妊娠1例

患者,26岁。孕32周,曾在外院3次检查,未发现异常。此次来我院常规检查胎位。超声所见:胎头于耻上,双顶径8.2cm,胎心规律147次/分,羊水最深62cm,胎盘位于右前壁(图1)。于宫腔左侧可见     

超声诊断子宫肌瘤合并妊娠胎足畸形1例

患者,女,34岁,农民。G4P3,现存活一女孩,8岁,另两胎正常分娩后,婴儿妖折,死因不明,婴儿无畸形。末次月经1999年12月28日,足月待产,这次妊娠期间,未吃药,未感冒,孕4月感胎动,孕期无不适,未做任何检查。B超检查结果为:胎头位于宫体右上方,双顶径99mm,胎心率156次/分,股骨长67mm,     

超声诊断巨大子宫肌瘤囊性变1例

患者,45岁,已婚。因下腹部肿物6年,近2个月迅速增大就诊。数年前超声曾诊断为子宫肌瘤。妇科检查:子宫前倾,约孕20周大小,子宫前壁偏右侧可触及一12cm×9cm×8cm大小的肿物,质硬,表面光滑,无压痛。双侧附件未扪及。超声检查:子宫前倾,增大,于前壁偏右侧可探及一为15cm×16cm×12cm的囊实性包块,其轮廓欠清,与子宫无明显分界。包块中央呈元回声,其内尚可见强回声分隔带,囊腔内壁欠规整,周边以实质回声为主,且厚薄不一,最     

B超诊断双胎妊娠中一纸样胎儿1例

孕妇28岁,G3P0,孕23周,行常规产科超声检查,使用SDL-32C超声诊断仪,探头频率3.5MHz。超声显示：脐右上探及一头颅光环,双顶径5.2cm,胎心率150次/min。脐右下探及另一头颅光环,双顶径3.4cm,未见胎心博动,两胎儿脊柱排列完整,躯干及四肢显示清晰,形态正常,超声诊断意见：中孕双胎,其中一胎儿已死亡。     

双子宫妊娠合并子宫肌瘤1例

患者女,27岁.因停经56天来我院就诊.体格检查:一般状况好,下腹部膨隆明显似孕3月余.尿妊娠试验(+).行B型超声检查见:膀胱适度充盈后,于子宫底横切,可同时显示双侧子宫体;追踪到宫颈处子宫颈合二为一.     

宫内双胎妊娠伴发卵巢妊娠1例报告

宫内双胎妊娠伴发卵巢妊娠１例报告广东深圳市龙岗区横岗人民医院（５１８０００）王立病例报告患者２４岁，已婚，工人。因停经４２天行清宫术，术后不规则阴道流血４２天于１９９５年６月２６日入院。患者末次月经１９９５年４月２日，５月１４日起出现少量阴道流血，无...     

双胎妊娠合并1胎儿腹腔巨大囊肿超声表现1例

孕妇,32岁。妊娠18周,彩超检查胎儿发育情况。仪器条件:百胜AU3,彩超探头频率3.5~5.0MHz可变,行腹部常规产科检查。超声所见:宫内见两个胎儿回声,一正常胎儿双顶径44mm,颅骨光环光整,脑中线居中,脊柱连续,胎儿胎动好,前壁胎盘,回声均。羊水暗区40mm。另一异常胎儿双顶径40mm,颅     

产前超声诊断双胎反向动脉灌注序列征1例

病例 女,27岁,孕1产0,孕23+2周.孕妇孕7周在外院早孕期超声检查诊断为单活胎,胚胎存活.孕11+3周早孕期超声检查发现羊膜囊内可见一等回声结节,大小约12 mm× 14 mm,可见细束状血流信号与胎盘连接,超声提示:双胎无心反向动脉灌注序列征可能,建议动态观察.     

Ruptured uterus: sonographic diagnosis

Sonography was able to suggest a diagnosis of uterine rupture by demonstrating intra- or extraperitoneal hematoma in the correct clinical setting. A pelvic abscess complicating a uterine rupture was seen in one case. Previous uterine scar, use of prostaglandins for induction of labor, trauma with a currette, and cornual pregnancy were the implicated etiologic factors. Although the rupture site was never directly visualized by sonography, the combination of sonographic and clinical findings was strongly suggestive of the correct diagnosis.     

Transvaginal sonographic diagnosis of live monochorionic twin ectopic pregnancy.

Ectopic pregnancy is a leading cause of pregnancy-related deaths; its incidence has progressively increased in recent years. Spontaneous twin ectopic pregnancy, however, is extremely rare. Among more than 100 reported cases of twin tubal pregnancies, only 5 cases in which fetal cardiac motion has been visualized in both embryos have been reported. We describe an additional case of a live monochorionic twin ectopic pregnancy in a patient with no predisposing factor. With transabdominal sonography, we initially diagnosed a single ectopic pregnancy, visualized as an ill-defined mass in the left adnexa. However, with transvaginal sonography, we determined the left adnexal mass to contain a single monochorionic gestational sac with 2 embryos, each with cardiac motion. These findings were confirmed with color Doppler sonography and at laparotomy. The introduction of high-resolution transvaginal sonography has resulted in the earlier diagnosis of ectopic pregnancy and has contributed to a recent decrease in the maternal mortality and morbidity associated with this condition.     

子宫结核合并肌瘤1例

者女,40岁.因停经1年余,2个月前出现尿频、尿急症状,伴阴道点滴状出血前来就诊.B超所见:子宫大小17.0 cm×13.3 cm×9.7 cm,宫腔内可见大小不等的囊状结构,最大约8 cm×4 cm×4 cm,各囊腔间为厚薄不均的条索样高回声分隔而成为其囊壁.     

超声诊断双胎之一胎儿无叶全前脑合并面部畸形1例

超声诊断双胎之一胎儿无叶全前脑合并面部畸形1例     

一例巨大阔韧带肌瘤伴巨大卵巢畸胎瘤的超声表现

患者,女,45岁,因“间断性尿频半年加重伴右侧腰部不适1天”就诊。超声检查提示盆腹腔巨大实性包块,大小约250mm×150mm×100mm。考虑来源于子宫可能,浆膜下子宫肌瘤可能性大。左侧卵巢大小形态正常,右侧卵巢未满意探及。右侧输尿管上段扩张伴右肾积水。MRI提示：子宫右侧壁巨大肿块影与子宫浆膜层分界不清,考虑子宫肌瘤（浆膜下）可能性大,该肿块右后方见一类圆形混杂信号,考虑畸胎瘤。术后：剖开该大包块,内见灰白色水肿的肌性组织,螺旋状结构分界不清。另剖开卵巢见淡黄色脂液、头发及一些白色石灰样物质。病理诊断：子宫阔韧带平滑肌瘤,右侧卵巢成熟畸胎瘤。     

超声诊断残角子宫妊娠1例

患者27岁,因停经67天,阴道流血1 月入院。既往月经规律,量中等,无痛经。26岁结婚,曾顺产一女,诉产前产后曾行妇科B超均无异常。入院后B超检查:子宫增大6.0cm×5.5cm×5.9cm,内膜厚2.0cm,居中清晰;紧贴子宫右侧可探及混合性包块4.0cm×3.3cm×3.0cm。边界清楚,壁厚0.4cm,其内部为一妊娠双环征3.5cm×2.6cm×3.5cm,内见卵黄囊样结构及胚胎反射,长径2.0cm,胎心( )(图1)。紧靠混合性包块下方见一囊性包块4.7cm×3.2cm×3.9cm,周边见正常卵巢。左卵巢正常大小。B超诊断:①子宫饱满;②右侧盆腔混合性包块,以残角子宫妊娠可能性大;③右卵巢囊肿。…