CAJ | 학술논문

目的探讨三维超声在早孕期残角子宫妊娠诊断中的应用价值,以期提高残角子宫妊娠的诊断准确性.方法对我院收治的5例早孕期残角子宫妊娠患者的临床表现、二维及三维超声声像图特征及手术病理诊断结果进行总结分析.结果5例患者均无阴道出血表现,其中1例轻度腹痛,经腹部超声检查提示为双子宫,右侧子宫内妊娠;4例患者无明显腹痛,其中1例经阴道超声检查提示为异位妊娠,子宫外包块;其余3例经腹部及经阴道超声检查结合三维超声子宫冠状切面成像检查显示子宫均呈“单角状”,子宫外包块提示诊断为残角子宫妊娠.5例患者均行残角子宫及患侧输卵管切除,手术病理检查证实均为残角子宫妊娠.结论经腹部及经阴道超声结合三维超声检查可提高早孕期残角子宫妊娠诊断的准确性,从而预防残角子宫妊娠破裂及出血等不良后果的发生.
목적탐토삼유초성재조잉기잔각자궁임신진단중적응용개치,이기제고잔각자궁임신적진단준학성.방법대아원수치적5례조잉기잔각자궁임신환자적림상표현、이유급삼유초성성상도특정급수술병리진단결과진행총결분석.결과5례환자균무음도출혈표현,기중1례경도복통,경복부초성검사제시위쌍자궁,우측자궁내임신;4례환자무명현복통,기중1례경음도초성검사제시위이위임신,자궁외포괴;기여3례경복부급경음도초성검사결합삼유초성자궁관상절면성상검사현시자궁균정“단각상”,자궁외포괴제시진단위잔각자궁임신.5례환자균행잔각자궁급환측수란관절제,수술병리검사증실균위잔각자궁임신.결론경복부급경음도초성결합삼유초성검사가제고조잉기잔각자궁임신진단적준학성,종이예방잔각자궁임신파렬급출혈등불량후과적발생.
Objective To explore the application of three-dimensional ultrasound (3DUS) in the diagnosis of rudimentary uterine horn pregnancy in first trimester ,and to improve the diagnostic accuracy in rudimentary uterine horn pregnancy .Methods The clinical,ultrasonographic and operative findings of 5 patients who were diagnosed with rudimentary uterine horn pregnancy in first trimester were analyzed .Results All the 5 patients had no history of vaginal bleeding .One patient had mild abdominal pain,transabdominal ultrasound showed uterus duplex and the intrauterine pregnancy in the right uterine .The rest 4 patients had no abdominal pain.Among them, a case of ectopic pregnancy with unilateral adnexal mass was found on transvaginal ultrasound examination .In the remaining 3 cases, transabdominal or transvaginal ultrasound combined with three-dimensional ultrasound showed a single angular uterus on coronal plain and a unilateral adnexal mass suggestive of ectopic pregnency .All 5 patients underwent surgical treatment and were diagnosed as rudimentary uterine horn pregnancy .Conclusion Combination of transabdominal or transvaginal and 3DUS can increase the diagnostic accuracy for rudimentary uterine horn pregnancy ,and avoid adverse events, such as rudimentary uterine rupture and haemorrhage .