| 摘要: |
| 目的 探讨宫角妊娠超声测量参数及分型对超声引导下清宫术治疗宫角妊娠的临床价值。方法 回顾性分析成都医学院第一附属医院经临床及病理证实的59例宫角妊娠患者。所有患者均先行超声引导下的清宫术治疗，治疗无效的患者转手术治疗。治疗有效者为A组，治疗无效者为B组，分析两组间超声声像图的分型、病灶最大径线、病灶周边肌层厚度的差异， P<0.05有统计学意义。结果 清宫治疗有效的为44例，无效的为15例，A、B两组宫角妊娠超声声像图的分型、病灶最大径线、病灶周边肌层的厚度差异均有统计学意义。结论 超声提示宫角妊娠病灶有内膜环绕或病灶是孕囊型的患者采取超声引导下的清宫术治疗效果较好，不易残留。超声提示宫角妊娠病灶体积较小，病灶周边肌层较厚的患者采用超声引导下的清宫术治疗较安全。 |
| 关键词: 宫角妊娠 超声测量参数及分型 超声引导下清宫术 价值 |
| DOI： |
| 投稿时间：2017-07-10修订日期：2017-08-11 |
| 基金项目:四川省医学科研青年创新课题（Q16017） |
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| The value of the Ultrasonic measurement parameters and classification for the treatment of cornual pregnancy by ultrasound-guided curettage |
| ZHOU Jiang-ying,ZHANG Yi |
| (Department of Ultrasonography,The First Affiliated Hospital of Chengdu Medical College) |
| Abstract: |
| Abstract Objective To explore the clinica value of the Ultrasonic measurement parameters and classification for the treatment of cornual pregnancy by ultrasound-guided curettage . Methods Fifty nine patients with clinically or pathologically proved cornual pregnancy in First Affiliated Hospital of Chengdu Medical College were selected in this retrospective study. All patients were treated with ultrasound-guided curettage at first ,while patients with ineffective treatment were treated surgically. Two groups were classified on the basis of different treatment effect: effective group A, ineffective group B . To analyze the differences of ultrasonographic manifestations between the two groups, including the classification, the maximal diameter of lesions and the thickness of peripheral muscle. P<0.05 were statistically significant. Results The differences of classification, the maximal diameter of the lesions and the thickness of the muscular layer between the effective group A (forty-four patients) and the ineffective group B group (fifteen patients) were statistically significant. Conclusion The cornual pregnancy lesions were surrounded by endometrium or belong to the pregnancy-type ,which had a better therapeutic effect and lower residue under the ultrasound-guided curettage. The treatment with smaller lesions or lesions around the thick muscle would be safer by the ultrasound-guided curettage. |
| Key words: cornual pregnancy Ultrasonic measurement parameters and classification ultrasound-guided curettage value |
