CAJ | 학술논문

目的：探讨彩色多普勒超声检查对宫内妊娠合并宫外妊娠的诊断价值。方法：回顾分析2010年1月至2013年12月收治的19例体外受精-胚胎移植术后临床诊断为宫内妊娠合并宫外妊娠患者的术前彩色多普勒超声图像特征，并随访其预后。结果：19例患者中，术前超声诊断为宫内妊娠合并宫外妊娠18例（合并宫角妊娠8例，合并输卵管妊娠10例），1例漏诊。19例患者均住院手术治疗并进行随访，其中13例宫内妊娠已分娩或继续妊娠，2例行手术终止妊娠（1例因胚胎枯萎行手术终止妊娠，1例因难免流产行手术终止妊娠），2例自然流产，2例失访。结论：彩色多普勒超声对诊断宫内妊娠合并宫外妊娠有重要价值，能够及早发现宫内妊娠合并宫外妊娠并指导临床处理。
목적：탐토채색다보륵초성검사대궁내임신합병궁외임신적진단개치。방법：회고분석2010년1월지2013년12월수치적19례체외수정-배태이식술후림상진단위궁내임신합병궁외임신환자적술전채색다보륵초성도상특정，병수방기예후。결과：19례환자중，술전초성진단위궁내임신합병궁외임신18례（합병궁각임신8례，합병수란관임신10례），1례루진。19례환자균주원수술치료병진행수방，기중13례궁내임신이분면혹계속임신，2례행수술종지임신（1례인배태고위행수술종지임신，1례인난면유산행수술종지임신），2례자연유산，2례실방。결론：채색다보륵초성대진단궁내임신합병궁외임신유중요개치，능구급조발현궁내임신합병궁외임신병지도림상처리。
Objective: To investigate the value of Color Doppler ultrasound in the diagnosis of heterotopic pregnancy .Methods:The data of sonographic characteristics of 19 patients diagnosed as heterotopic pregnancy by surgery and pathology were analyzed retrospectively and the prognosis were observed .Results: Among the 19 patients, 18 were diagnosed by preoperative ultrasound as heterotopic pregnancy ( 8 cases of uterine horn pregnancy , 10 cases of tubal pregnancy ) , 1 case was missed diagnosed .All of the 19 patients were hospitalized for proper treatment , among them 13 cases had continued gestation , some of them had delivered intrauterine pregnancy so far;2 cases underwent surgical termination of intrauterine pregnancy ( nonviable embryo and inevitable abortion respectively);2 cases had abortion and 2 cases were lost to follow-up.Conclusion: Color Doppler ultrasound sonography is significant in the discovery and diagnosis of heterotopic pregnancy , which provide proper guidence for clinical treatment .