彩色多普勒超声联合宫腔镜诊断早期宫角妊娠的临床价值

Clinical value of Color Doppler Ultrasound Combined With Hysteroscopy For Diagnosing Early Cornual Pregnancy

目的探讨彩超联合宫腔镜诊断早期宫角妊娠(孕7周以内)的临床价值。方法对2000年1月至2005年12月彩色多普勒超声联合宫腔镜检查,经病检确诊的22例早期宫角妊娠患者临床资料进行回顾性分析。结果22例经二维及彩色多普勒超声检查结果:早期宫角妊娠声像图分为典型孕囊型12例,不典型包块型10例,超声正确诊断16例(占72.7%),误诊6例(占27.3%)。22例均经宫腔镜检查,明确诊断及在超声监护下治疗痊愈。结论彩色多普勒超声联合宫腔镜诊断早期宫角妊娠安全、有效、微创,值得临床推广。

Objective To investigate clinical value of color Doppler ultrasound combined with hysteroscopy for diagnosing early comual pregnancy （within 7 weeks of pregnancy）. Methods 22 cases of early comual pregnancy diagnosed by color Doppler ultrasound combined with hysteroscopy and confirmed by pathology from January 2000 to December 2005 were analyzed retrospectively. Results 22 cases were classified into two groups： Typical ultrasonographic features of normal pregnancy but malpositioned 12cases; Abnormal masses in the horn uterus 10 cases. 16 cases were diagnosed doubtless, diagnostic accuracy of 72.7%, and 6 cases were misdiagnosed, misdiagnostic accuracy of 27.3%. 22 cases were diagnosed doubtless by hysteroscopy and treatment by ultrasonographic monitoring. Conclusions Color Doppler ultrasound combined with hysteroscopy for diagnosing early comual pregnancy is a preferable method with advantages of highly efficacy, safety and mini-invasion.