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目的探讨输卵管间质部妊娠与宫角部妊娠彩色多普勒超声声像图特点及鉴别要点。方法对我院2006年-2010年超声诊断为15例输卵管间质部妊娠及27例宫角部妊娠经手术和病理证实结果的分析。结果我院15例间质部妊娠及27例宫角部妊娠经手术后证实,4例输卵管间质部妊娠与宫角部妊娠相互误诊,2例宫内孕误诊为宫角部妊娠,2例滋养细胞肿瘤误诊为宫角部妊娠,术前超声诊断准确率为80.9%(34/42)。结论经阴道彩色多普勒超声与腹部超声相结合对输卵管间质部妊娠与宫角部妊娠的诊断与鉴别诊断具有较高的应用价值。
Objective To investigate the features and differential points of color Doppler ultrasonography in tubal pregnancy and uterine horn pregnancy. Methods In our hospital from 2006 to 2010 ultrasound diagnosis of 15 cases of tubal pregnancy and 27 cases of palace corner pregnancy by surgery and pathology confirmed the results of the analysis. Results In our hospital, 15 cases of interstitial pregnancy and 27 cases of palace corner pregnancy after surgery confirmed that 4 cases of tubal pregnancy and palace corner pregnancy misdiagnosed, 2 cases of intrauterine pregnancy misdiagnosed as palace corner pregnancy, 2 cases Trophoblastic tumor misdiagnosed as palace corner pregnancy, preoperative ultrasound diagnostic accuracy was 80.9% (34/42). Conclusion Transvaginal color Doppler ultrasound and abdominal ultrasound combined with tubal pregnancy and uterine horn pregnancy diagnosis and differential diagnosis of high value.