超声诊断宫内外同时受孕的临床价值

Effect of sonographic diagnosis of pregnancy in and out uterine cavity simultaneously

目的探讨超声检查对宫内外同时受孕的诊断价值。方法对33例经手术、病理证实的宫内外同时受孕患者的临床资料、超声表现特征及检测结果进行分析。结果33例宫内外同时受孕者经腹超声检查确诊25例(占75.8%),经阴道彩超检查确诊31例(占93.9%)。结论经腹超声检查可作为宫内外同时受孕者常规筛查,对仍不能确定诊断者,应及时再行经阴道彩超检查,以进一步提高确诊率,使更多患者获得早期正确处治。

Objective To discuss the diagnosis value of ultrasonic inspection in intrauterine complicated with extrauterine pregnancies. Methods The clinical data of 33 intrauterine pregnant women complicated with extrauterine pregnancies diagnosed with 2D tranabdomen scan and transvaginal color Doppler imaging were retrospectively analyzed. Results Of 33 intrauterine complicated with extrauterine pregnancies, 25 cases （about 76%） could be diagnosed with 2D tranabdomen scan, while 32 cases （about 97%） with transvaginal color Doppler imaging. Conclusion Tranabdomen ultrasound scan can be a screening method for intrauterine complicated with extrauterine pregnancies while transvaginal color Doppler imaging be a further diagnosed one for intractable cases.