子宫腺肌病合并妊娠的超声诊断价值

目的探讨子宫腺肌病合并妊娠时妊娠囊着床位置对妊娠的发展与转归的影响。方法分析42例经病理证实为子宫腺肌病患者的声像图特征，其中12例合并妊娠的患者在超声显示妊娠囊后确定妊娠囊着床位置，追踪观察妊娠的发展与转归。结果42例子宫腺肌病患者，弥漫型10例，局限型32例。合并妊娠12例，其中弥漫型2例，声像图示子宫内膜较薄，早期即出现过期流产；局限型10例，着床于病变宫壁8例，声像图示子宫内膜不对称性增厚，病变宫壁侧子宫内膜厚度较正常侧薄，均出现流产，着床于正常宫壁1例，能发育至足月妊娠分娩，异位妊娠1例。结论超声诊断子宫腺肌病合并妊娠时，孕囊着床位置对囊胚的发育和发展转归有关。

The value of ultrasound in diagnosis of adenomyosis combined with pregnancy

Objective To explore the effect of gestation sac nidation position on development and turnover of pregnancy in adenomyosis combined with pregnancy. Methods The sonogram features of 42 patients with adenomyosis confirmed by pathology were analyzed. The gestation sac nidation position was determined after uhrasonography in 12 patients with adenomyosis combined with pregnancy,The development and turnover of pregnancy were re - examined. Results In 42 cases of adenomyosis,there were 10 cases of diffuse type and 32 cases of localization type. In 12 cases combined with pregnancy, 2 cases were in diffuse type,sonograms showed endometria was thin,and missed abortion happened in early pregnancy; 10 cases were in localization type, and nidation of 8 cases was in uterus wall, sonogram showed endometria became thick asymmetrically, the thickness of sick uterus wall was thinner than that of normal uterus wall, abortion happened in all the patients. Nidation of 1 case was in normal uterus wall which could grow to the full - term pregnancy, and 1 case was of ectopic pregnancy. Conclusion Ultrasound can diagnose adenomyosis combined with pregnancy, and the position of gestation sac nidation has close correlation to development and turnover of blastula.