子宫角部位妊娠的超声诊断及其误诊分析

Analysis of the diagnosis and misdiagnosis for pregnancy in horn of uterus by ultrasound

目的总结超声在诊断宫角部位妊娠过程中的经验教训。方法回顾性分析12例宫角部位妊娠病例的临床与声像图特点。结果12例中仅1例由超声直接明确诊断,2例经临床观察及反复超声检查最终由阴道彩色多普勒超声诊断,其余均在术后确诊。结论超声可以为临床早期诊断宫角部妊娠提供影像学依据,经阴道彩色多普勒超声可作为该类疾病诊断的首选方法。

Objective To summarize the experience and lesson in diagnosis of pregnancy in horn of uterus by ultrasound. Methods The clinical information and ultrasonographic characteristic of 12 cases with pregnancy in horn of uterus were analyzed retrospectively. Results Only one case was diagnosed directly by ultrasound. Two cases were diagnosed by transvaginal color Doppler ultrasound repeatedly. The others were diagnosed during operation. Conclusion Ultrasound especially transvaginal color Doppler ultrasound, is useful for early diagnosis and differential diagnosis of pregnancy in horn of uterus.