宫角妊娠与输卵管间质部妊娠的超声诊断与鉴别诊断

目的探讨超声对宫角妊娠与间质部妊娠诊断价值。方法对近4年来我院37例宫角妊娠及29例间质部妊娠超声检查结果进行综合分析。结果在我院经手术及病理检查报告证实诊断的37例宫角妊娠及29例间质部妊娠,术前超声诊断准确率为89.3%,有2例术前超声误诊为盆腔炎性包块及纵隔子宫一侧宫腔妊娠,有3例超声诊断为宫外孕未准确定位,另有2例宫角妊娠与间质部妊娠相互误诊。结论超声检查对宫角妊娠与间质部妊娠有较高的诊断率,可以为临床医生提供有价值的诊断信息。

Diagnosis and differential diagnosis of cornual pregnancy and interstitial tubal pregnancy with ultrasonography

Objective To study the diagnostic value of cornual pregnancy and tubal pregnancy with ultrasound.Methods A comprehensive analysis was made about the ultrasound findings of 37 cases of cornual pregnancy and 29 cases of interstitial tubal pregnancy over the past four years in our hospital.Results About the cases confirmed by the surgery and pathologic examination,the diagnostic accuracy of preoperative ultrasonography was 89.3%.Two cases were misdiagnosed as pelvic inflammatory disease mass and the septus uterus with one side intrauterine pregnancy,three cases of ectopic pregnancy were not accurately positioned,and two cases of cornual pregnancy and tubal pregnancy were mutual misdiagnosis.Conclusion Ultrasonography is of great value to diagnosing cornual pregnancy and interstitial tubal pregnancy,it can provide valuable diagnostic information for clinicians.