早期宫角妊娠及误诊的超声诊断分析

Analysis of Ultrasonic Diagnosis of Early Cornual Pregnancy and Misdiagnosis

目的探讨超声诊断在早期宫角妊娠诊断中的价值,及对其误诊原因进行分析,提高超声诊断对宫角妊娠的诊断水平。方法对我院2014年10月收治并经手术后处理后病理证实的宫角妊娠的患者32例,回顾性分析他们的超声声像图表现。结果超声声像图表现正确率为71.9%,确诊为宫角妊娠患者23例,有2例被误诊为子宫肌瘤,2例误诊为纯宫内早孕,2例被误诊为滋养细胞疾病,3例被误诊为输卵管间质部妊娠。结论超声诊断是目前诊断宫角妊娠的主要手段,对宫角妊娠的诊断价值较好,但也存在较高的误诊率,需要改进技术减少误诊率,提高诊断水平。

Objective To explore the diagnostic ultrasound in early diagnosis of cornual pregnancy in value, and the cause of misdiagnosis were analyzed, to improve the diagnostic level of ultrasound in the diagnosis of cornual pregnancy. Methods 32 patients in our hospital in 2014 October were treated by operation and confirmed by pathology after treatment of cornual pregnancy patients, a retrospective analysis of the ultrasonographic manifestations of their. Results The correct rate of ultrasonography was 71.9%, conifrmed the diagnosis of cornual pregnancy in 23 cases, 2 cases were misdiagnosed as uterine leiomyoma, 2 cases were misdiagnosed as pure early intrauterine pregnancy, 2 cases were misdiagnosed as gestational trophoblastic disease, 3 cases were misdiagnosed as interstitial tubal pregnancy. Conclusion Ultrasound diagnosis is the main means of current diagnosis of cornual pregnancy, good value on diagnosis of cornual pregnancy, but also has high misdiagnosis rate, the need to improve technology to reduce the rate of misdiagnosis, improve the level of diagnosis.