B超在早期宫角妊娠诊治中的临床应用价值

目的 探讨B超在早期宫角妊娠诊治中的临床应用价值.方法 选择川北医学院附属医院2005年6月至2010年6月临床拟诊早孕经B超诊断的早期官角妊娠自愿终止妊娠256例患者,年龄21～42岁.做二维或三维超声诊断,并在B超监测引导下施行人工流产或清官术,全部病例术后10d左右返院复诊.结果 全部病例经腹或经阴道B超(包括二...

Clinical application value of B ultrasound in diagnosis and treatment of early cornual pregnancy

Objective To investigate the clinical application value of B uhrasound in the diagnosis and treatment of early cornual pregnancy. Methods A total of 256 patients with voluntary termination of early cornual pregnancy from June 2005 to June 2010 were enrolled, which aged 21 - 42 years old. The two-dimensional or three-dimensional ultrasound diagnosis were used, and the monitored B ultrasound-induced abortion of curettage were performed. All patients were requested further consultation about 10 days after surgery. Results All cases were diagnosed by transabdominal or transvaginal, two-dimensional and three-dimensional B ultrasound. The 179 cases were gestational sac type, while 77 cases were mass type. The 72 cases gestational sac or mass were located at cornua uteri and 184 cases were near to cornua uteri. In B ultrasound -induced abortion or curettage, there were 3 cases（1.63 %） for further curettage twice among the 184 cases neared to cornua uteri, and there were 13 cases（18.1%） for further curettage twice among the 72 cases located at cornua uteri. One case with uteri perforation was treated with transabdominal repair surgery. Conclusion It is demonstrated that B ultrasound is the best method and should be the first choice in diagnosis of early cornual pregnancy. The three-dimensional coronal plane imaging is more accurate than two-dimensional imaging and is of great significance in predicting pregnancy prognosis and choosing treatment method. The abortion or curettage induced under B ultrasound monitoring for termination of early cornual pregnancy is simple and economic as well as safe and effective, and which is deserved extended clinical application.