新疆医科大学学报

目的:探讨超声对宫颈妊娠的诊断价值及误诊原因。方法:对7例临床拟诊为宫颈妊娠的患者进行经腹经阴超声做多切面扫查,注意观察子宫、卵巢及宫旁组织,并通过彩色多普勒超声检查(CDFI)观测其血流,将其超声检测结果与手术及病理结果对照分析。结果:7例临床拟诊为宫颈妊娠中,术前超声检出的宫颈妊娠与手术病理诊断符合5例,误诊2例。结论:超声在宫颈妊娠诊断中具有重要作用,经腹经阴检查可提高诊断率。

Objective: To evaluate the value of ultrasonography in the diagnosis of cervical pregnancy and to analyze the reasons for diagnostic errors. Methods: Ultrasonography was performed in 7 patients with cervical pregnancy by multi-sectiones. Attention was paid to view the uterus, ovaries and the tissue of lateral spherical aberration. The sonography features of two-dimensional ultrasonography and color Doppler of cervical pregnancy were analyzed. The sonographic results were correlated with surgical and pathologic findings. Results: Among the 7 cases, Preoperative ultrasonography prompted cervical pregnancy in 5 cases, while the other 2 cases were diagnostic errors. Conclusions: Ultrasonography plays an important role in the diagnosis of cervical pregnancy. A combined use of transvaginal and per abdominal ultrasonography can improve the accuracy rate of diagnosis.