本文選題：超聲 + 不完全縱隔子宮　； 參考：《第三軍醫(yī)大學(xué)學(xué)報(bào)》2016年12期

【摘要】：目的通過對(duì)42例不完全縱隔子宮早期妊娠的聲像圖分析,探討不完全縱隔子宮早期妊娠的超聲診斷與鑒別診斷。方法選擇重慶醫(yī)科大學(xué)附屬大學(xué)城醫(yī)院2012年9月至2015年9月的超聲診斷和(或)臨床婦產(chǎn)科診斷為不完全性縱隔子宮妊娠42例,對(duì)其早期妊娠(14周)超聲聲像圖進(jìn)行觀察和分析,總結(jié)不完全縱隔子宮妊娠早期的超聲聲像圖特征及其鑒別診斷要點(diǎn)。結(jié)果 42例孕婦平均年齡28.5歲,其中超聲診斷不完全縱隔子宮妊娠39例,臨床證實(shí)為不完全縱隔子宮妊娠35例,超聲診斷不完全縱隔子宮妊娠正確率83.33%(35/42),假陽性4例,假陽性率9.52%,其中3例為過早宮內(nèi)妊娠,1例經(jīng)手術(shù)及病理證實(shí)為宮角妊娠;假陰性3例,假陰性率7.15%,其中2例被超聲診斷為可疑宮內(nèi)早孕,1例被診斷為宮角妊娠。結(jié)論超聲對(duì)不完全縱隔子宮早期妊娠的聲像圖表現(xiàn)具有一定特異性,能準(zhǔn)確診斷并更好地指導(dǎo)臨床。
[Abstract]:Objective to study the ultrasonic diagnosis and differential diagnosis of 42 cases of incomplete mediastinal early pregnancy. Methods from September 2012 to September 2015, 42 cases of incomplete mediastinal pregnancy were diagnosed by ultrasonography and / or clinical obstetrics and gynecology. The sonographic features and differential diagnosis of incomplete mediastinal uterine pregnancy were summarized by observing and analyzing the sonograms of its early pregnancy at the 14th week of gestation. Results the average age of 42 pregnant women was 28.5 years old, 39 cases of incomplete mediastinal uterine pregnancy were diagnosed by ultrasound, 35 cases were confirmed as incomplete mediastinal uterine pregnancy, the correct rate of ultrasonic diagnosis of incomplete mediastinal uterine pregnancy was 83.33% / 42%, and 4 cases were false positive. The false positive rate was 9.52%, of which 3 cases were early intrauterine pregnancy, 1 case was confirmed by surgery and pathology, 3 cases were false negative, and the false negative rate was 7.15%, among them 2 cases were diagnosed as suspected intrauterine early pregnancy by ultrasound and 1 case was diagnosed as uterine horn pregnancy. Conclusion Ultrasound has a certain specificity for the early pregnancy of incomplete mediastinum, which can accurately diagnose and guide clinical practice.
【作者單位】： 重慶醫(yī)科大學(xué)附屬大學(xué)城醫(yī)院超聲科;重慶醫(yī)科大學(xué)生物醫(yī)學(xué)工程系省部共建超聲醫(yī)學(xué)工程國家重點(diǎn)實(shí)驗(yàn)室超聲醫(yī)學(xué)工程重慶市市級(jí)重點(diǎn)實(shí)驗(yàn)室;
【分類號(hào)】：R445.1;R714.2

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