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目的探讨子宫肌壁间妊娠的的声像图表现、发病机制及鉴别诊断。方法回顾性分析5例子宫肌壁间妊娠包块的声像图、临床症状及检验表现。结果 3例子宫腔内无孕囊声像,子宫前壁见回声不均结节伴有少量彩色血流信号,探及低阻动脉性频谱,住院期间突发腹痛急诊剖腹探查。2例子宫腔内无孕囊声像,子宫底部见回声不均结节伴有少量彩色血流信号,探及低阻动脉性频谱,局部子宫浆膜回声中断,伴有腹腔积液,急诊剖腹探查。病理诊断示子宫壁异位妊娠。结论彩色多普勒超声诊断子宫肌壁间妊娠具有一定的价值,但早期诊断困难。
Objective To investigate the sonogram appearance, pathogenesis and differential diagnosis of uterine muscular intermural pregnancy. Methods Retrospective analysis of 5 cases of uterine muscular intermural mass of the ultrasound imaging, clinical symptoms and test performance. Results No intrauterine cyst sonography was found in 3 cases. Uterine anteroposterior echoes showed a small amount of color flow signals, and exploration of low-impedance arterial spectrum. During the hospitalization, sudden abdominal pain was explored. 2 cases of intrauterine gestational sac without ultrasound, see the bottom of the uterus echo uneven nodules with a small amount of color flow signals, exploration and low resistance arterial spectrum, local uterine serosa echo interrupted with ascites, emergency cesarean section Exploring. Pathological diagnosis showed ectopic pregnancy. Conclusion Color Doppler ultrasound diagnosis of uterine muscle wall pregnancy has some value, but early diagnosis is difficult.