25例卵巢妊娠的B超诊断

Ultrasound diagnosis of ovary pregnancy(24 cases)

目的对术前经B超检查、手术证实为卵巢妊娠25例进行分析,以提高B超对卵巢妊娠确诊率。方法对该院25例卵巢妊娠的声像图表现及临床资料进行回顾性分析。结果B超诊断卵巢妊娠符合率为44%(11/25),误诊14例占56%。卵巢妊娠的二维图像特征分为以下3种类型:Ⅰ型(孕囊型):5例占20%,Ⅱ型(不均质强回声或混合回声型):7例占28%,Ⅲ型(杂乱回声型):13例占52%。结论B超检查对早期卵巢妊娠诊断具有很重要的临床价值,为临床医生对卵巢妊娠诊断和治疗提供了依据。

[Objective] To improve the preoperative diagnosis of ovary pregnancy by ultrasound. [Methods] A retrospective analysis were conducted on 25 ovary pregnancy eases in our hospital. [Results] Among 25 cases, 11 （44%） were found by ultrasound, 14 （56%） were misdiagnosed. The planar sonographic imagines included three types. Among them, 5 cases （20%） were found with gestational Sac. 7 cases （28%） were detected with inhomegenous high echoes or mixed echoes and the other 13 cases （52%） were detected with mussy echoes. [Conclusion] Sonography plays an important role in early diagnosing of ovary pregnancy. It is important evidence of diagnosis and treatment for clinicians.