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目的探讨对子宫角妊娠诊断超声价值及鉴别诊断要点。方法分析2010年1月~2012年12月21例超声均诊断子宫角妊娠患者,并且与经宫腔镜和(或)手术病理结果对照。结果随机观察21例提示宫角妊娠病例,17例经手术证实,手术证实间质部妊娠3例,4例动态观察复查转化宫腔内妊娠。12例宫角妊娠行人流手术,3例间质部妊娠行手术切除。结论超声检查尤其是阴式超声是诊断宫角妊娠的主要方法,它能提供有价值的信息辅助临床正确处理。
Objective To investigate the diagnostic value of uterine horn pregnancy and its differential diagnosis. Methods From January 2010 to December 2012, 21 cases of uterine hormones were diagnosed by ultrasound, and compared with the results of hysteroscopy and / or surgical pathology. Results Twenty-one cases were observed for gestational pregnancy. Seventeen cases were confirmed by surgery. Three cases of interstitial pregnancy were confirmed by surgery, and four cases were converted into intrauterine pregnancy by dynamic observation. 12 cases of palace corner pregnancy pedestrian flow surgery, 3 cases of interstitial pregnancy surgery. Conclusion Ultrasonography, especially vaginal ultrasound, is the main method of diagnosing uterine horn pregnancy. It can provide valuable information to help clinical correct treatment.