宫内妊娠残留物易误诊绒癌声像图分析

目的：探讨宫内妊娠残留物合并感染后二维声像图特点。方法：本文分析了经我科会诊的１２例误诊为绒癌病例。确诊后在超声引导下行清宫术，病理证实为宫内妊娠残留物。与已明确诊断为绒癌经手术及病理证实的子宫声像图为对照，进一步分析了两者易造成误诊的原因。结果：宫内残留物与宫腔关系密切。结论：对疑诊为宫内残留物者可用超声引导下宫腔探查的方法协助诊断及鉴别

The Ultrasonogram Analysis on The Misdiagnosis of Remainder Uterogestation As The Choriocarcinoma

Purpose:To Study the property of the ultrasonogram about the remainder of uterogestation complicated infection.Methods:12 cases misdiagnosed the remaider of uterogestation as the choriocarcinoma were analysed.The uterine cavity was explored under the guide of the echograph,uterine curettage was performed after the diagnosis.The remainder of uterine pregnancy was convinced by the pathology.The property of the echogram of the remainder uterogestation and that of the choriocarcinoma confirmed both by the operation and the pathology was compared.The cause of the misdiagnosis was analysed.Result:The remainder of the uterine pregnancy is closely related to the uterine cavity.Conclusion:The ultrasound can provide a method for the differential diagnosis with choriocarcinoma by guiding the exploration of the uterine cavity suspected the remainder uterogestation.