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目的总结不典型葡萄胎的超声特征,分析误漏诊原因,提高诊断正确率。方法对经高淳县人民医院病理确诊的21例不典型葡萄胎的超声图像进行回顾性分析,着重观察病灶的边界、内部回声及血流特点。结果 21例不典型葡萄胎患者,超声正确诊断15例,正确率71.4%,5例误诊为胎死宫内,1例误诊为子宫内膜病变,其中仅2例合并黄素囊肿。结论用彩色多普勒超声观察异常回声的边界、内部回声分布及血流特点,可有效提高不典型葡萄胎的超声诊断正确率。
Objective To summarize the ultrasonic characteristics of atypical hydatidiform mole, analyze the cause of misdiagnosis and improve the diagnostic accuracy. Methods The 21 cases of atypical hydatidiform mole diagnosed by pathology in Gaochun People’s Hospital were retrospectively analyzed. The focus of the lesion border, internal echo and blood flow were observed. Results 21 cases of atypical hydatidiform mole were correctly diagnosed by ultrasound in 15 cases, the correct rate was 71.4%, 5 cases were misdiagnosed as fetal death, 1 case was misdiagnosed as endometrial lesions, of which only 2 cases were associated with flavin cyst. Conclusion The observation of abnormal echo boundary, internal echo distribution and blood flow characteristics by color Doppler ultrasonography can effectively improve the accuracy of ultrasonic diagnosis of atypical hydatidiform mole.