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目的探讨宫角妊娠超声误诊的原因,以提高宫角妊娠诊断准确率。方法回顾性分析2001年1月至2011年1月期间,超声检查误诊为其他疾病而经手术和病理确诊为子宫角部妊娠的患者21例的临床资料。结果在21例超声误诊的病例中,误诊为子宫浆膜下肌瘤变性3例,误诊为输卵管间质部妊娠5例,不全纵膈子宫一侧子宫妊娠的7例,滋养细胞疾病3例,炎性包块3例。结论宫角妊娠部位特殊,易被误诊为其他疾病而延误病情,结合临床病史与超声图像特征分析可提高诊断宫角妊娠的准确性。
Objective To investigate the causes of misdiagnosis of uterine horn pregnancy in order to improve the diagnostic accuracy of uterine horn pregnancy. Methods The clinical data of 21 patients with uterine horn pregnancy diagnosed by surgery and pathology during the period from January 2001 to January 2011 were retrospectively analyzed. Results In 21 cases of misdiagnosis, 3 cases were misdiagnosed as uterine submucous myoma degenerative, 5 cases were misdiagnosed as tubal interstitial pregnancy, 7 cases were incomplete uterine uterine pregnancy, 3 cases were trophoblastic diseases, 3 cases of inflammatory mass. Conclusion The palace horn pregnancy site is special and easily misdiagnosed as other diseases and delayed the disease. Combined with clinical history and ultrasound image characteristics analysis can improve the accuracy of diagnosis of cornual pregnancy.