输卵管间质部妊娠的超声诊断

Ultrasonic diagnosis of interstitial tubal pregnancy

目的探讨经阴道彩色多普勒超声(简称超声)在诊断输卵管间质部妊娠中的价值。方法对22例超声诊断输卵管间质部妊娠患者的声像图特征进行回顾性分析,并与手术病理结果对照。结果超声诊断输卵管间质部妊娠22例,诊断时间为停经39～74 d,最终经手术及病理证实19例与术前超声诊断相符,误诊2例(1例为宫角妊娠,另1例为输卵管峡部妊娠),1例保守治疗成功。结论经阴道彩色多普勒超声检查对输卵管间质部妊娠早期诊断与鉴别诊断具有重要价值。

Objective To explore the significance of the diagnosis of interstitial tubal pregnancy with transvaginal color Doppler ultrasound （TVCDU）. Methods Twenty-two cases with interstitial tubal pregnancy confirmed by surgery and pathology, were respectively analyzed according to the characteristics of two dimensional ultrasonography together with TVCDU. Results Twenty-two patients were diagnosed as interstitial tubal pregnancy by TVCDU and nineteen patients were proved by surgery and pathology, between 39 - 74 days, one patient was proved to be fight uterine corneal pregnancy by surgery, one patient was proved to be isthmic tubal pregnancy, and one patient was not confirmed for conservative surgery. Conclusion TVCDU is useful for early diagnosis and differential diagnosis of interstitial tubal pregnancy.