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[背景]探讨经阴道三维超声成像检查在诊断子宫角部和输卵管间质部妊娠中的价值.[病例报告]给39例疑有子宫角部和输卵管间质部妊娠患者进行阴道三维超声成像检查,并与手术病理检查结果及二维超声成像检查结果进行对比分析.39例患者中经三维超声成像检查诊断为子宫角部妊娠为21例,输卵管间质部妊娠为13例,正常妊娠为5例,对子宫角部妊娠的诊断结果与随访和病理检查结果比较准确率为100%,二维超声成像检查为77%,两者间差异具有统计学意义(P<0.05),对间质部妊娠诊断准确率亦有提高,但差异无统计学意义.[讨论]三维超声成像检查对子宫角部妊娠和间质部妊娠的特异性和敏感性均优于二维超声成像检查.
[Background] To investigate the value of transvaginal three-dimensional ultrasonography in the diagnosis of uterine horn and tubal interstitial pregnancy. [Case Report] Vaginal three-dimensional ultrasonography was performed in 39 patients with suspected uterine horn and tubal pregnancy , And compared with the results of surgical pathology and two-dimensional ultrasound imaging results in 39 cases of three-dimensional ultrasound imaging diagnosis of uterine horn pregnancy in 21 cases, tubal pregnancy was 13 cases, normal pregnancy was 5 For example, the accuracy of the diagnosis of uterine horn pregnancy was 100% compared with the follow-up and pathological findings, and 77% by two-dimensional ultrasonography. The difference between the two groups was statistically significant (P <0.05) The diagnostic accuracy of pregnancy also increased, but the difference was not statistically significant. [DISCUSSION] The specificity and sensitivity of three-dimensional ultrasound imaging in both uterine horn and interstitial pregnancy were better than two-dimensional ultrasound imaging.