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目的分析纵隔子宫合并妊娠的声像图特点及临床意义。方法对45例经手术及剖宫产证实为纵隔子宫合并妊娠的声像图表现及临床资料进行回顾性分析。结果完全纵隔子宫合并妊娠8例,其中7例合并早孕,1例合并晚期妊娠;不完全纵隔子宫并妊娠37例,其中合并早孕30例,早期妊娠见胎心搏动14例,中晚期妊娠胎儿存活4例,1例误诊,2例漏诊。结论超声在纵隔子宫合并妊娠的特有表现,可以提高本病诊断率,有利于临床制订合理的治疗方案。
Objective To analyze the characteristics and clinical significance of mediastinal uterus with pregnancy. Methods A retrospective analysis was performed on the sonographic findings and clinical data of 45 cases confirmed by surgery and cesarean section for mediastinal uterine pregnancy. Results Complete mediastinal uterus with pregnancy in 8 cases, of which 7 cases of early pregnancy, 1 case with late pregnancy; incomplete mediastinal uterus and 37 cases of pregnancy, including 30 cases of early pregnancy, fetal heart beat in early pregnancy, 14 cases of fetal survival in the late pregnancy 4 cases, 1 case misdiagnosis, 2 cases missed diagnosis. Conclusion Ultrasound in the mediastinal uterine pregnancy associated with the unique performance, can improve the diagnostic rate of the disease, is conducive to the clinical development of a reasonable treatment.