张玉,唐静,董虹美,冉素真.经阴道超声诊断胚胎移植术后宫内外复合妊娠:60例分析[J].中国医学影像技术,2018,34(11):1677~1680
经阴道超声诊断胚胎移植术后宫内外复合妊娠:60例分析
Diagnosis of heterotopic pregnancy following embryo transfer with transvaginal sonography: Analysis of 60 cases
投稿时间:2018-03-23  修订日期:2018-08-09
DOI:10.13929/j.1003-3289.201803147
中文关键词:  胚胎移植  妊娠,异位  超声检查
英文关键词:Embryo transfer  Pregnancy, heterotopic  Ultrasonography
基金项目:重庆市卫生计生委医学科研计划项目(2016MSXM096)。
作者单位E-mail
张玉 重庆市妇幼保健院超声科, 重庆 401147  
唐静 重庆市妇幼保健院超声科, 重庆 401147 33070728@qq.com 
董虹美 重庆市妇幼保健院超声科, 重庆 401147  
冉素真 重庆市妇幼保健院超声科, 重庆 401147  
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中文摘要:
      目的 评估经阴道超声诊断胚胎移植后宫内外复合妊娠的价值。方法 回顾性分析60例经手术证实的宫内外复合妊娠患者的经阴道超声资料,观察声像图特点,分析延迟诊断的原因,对比宫内胚芽及宫外胚芽长度。结果 经阴道超声诊断宫内外复合妊娠准确率为100%(60/60)。延迟诊断4例(4/60,6.67%),其中3例存在卵巢过度刺激综合征,1例为漏诊。宫外异位妊娠表现为混合回声包块25例(25/60,41.67%),不均质稍高回声包块17例(17/60,28.33%),不均质中等回声包块1例(1/60,1.67%),孕囊样回声17例(17/60,28.33%)。宫内妊娠表现为类孕囊1例(1/60,1.67%),孕囊仅见卵黄囊10例(10/60,16.67%),孕囊见卵黄囊及胚芽49例(49/60,81.67%)。宫内胚芽长(0.42±0.39)cm,宫外胚芽长(0.31±0.26)cm,差异有统计学意义(t=2.35,P=0.03)。结论 经阴道超声在诊断胚胎移植术后宫内外复合妊娠中具有重要意义。
英文摘要:
      Objective To investigate the value of transvaginal ultrasound (TVS) in diagnosis of heterotopic pregnancy (HP) following embryo transfer (ET). Methods TVS data of 60 patients with HP following ET confirmed by surgery were retrospectively analyzed. The characteristics of sonographic images were observed, and the causes of delayed diagnosis were discussed. The lengths of intrauterine and extrauterine embryos were compared afterward. Results The diagnostic accuracy rate of TVS for HP was 100% (60/60), and 4 patients (4/60, 6.67%) were delayed diagnosed, among which 3 had ovarian hyperstimulation syndrome, whereas 1 patient was missed diagnosis. The extrauterine ectopic pregnancy showed mixed echo mass in 25 patients (25/60, 41.67%), heterogeneous slightly high echo mass in 17 patients (17/60, 28.33%), heterogeneous medium echo mass in 1 patient (1/60, 1.67%) and gestational sac in 17 patients (17/60, 28.33%). Intrauterine pregnancy showed gestational sac in 1 patient (1/60, 1.67%), only yolk sac in 10 patients (10/60, 16.67%), yolk sac and embryos in 49 patients (49/60, 81.67%). The length of intrauterine embryos was (0.42±0.39)cm, of extrauterine embryos was (0.31±0.26)cm (t=2.35, P=0.03). Conclusion TVS plays an important role in diagnosis of HP following ET.
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