| 摘要: |
| 【】目的: 探讨早孕期绒毛膜隆起的超声特点及其临床意义。方法: 回顾性分析早孕期经阴道超声检查发现的绒毛膜隆起患者的超声特点,并与绒毛膜下血肿患者及正常早孕患者的超声特点进行比较,并追踪随访妊娠结局,分析其对妊娠预后的影响。结果: 绒毛膜隆起表现为妊娠早期由底蜕膜面绒毛膜凸向妊娠囊内的局部不规则凸起, 内无血流信号。33691例早孕患者中超声共检出绒毛膜隆起60例,绒毛膜下血肿2257例,检出率分别为 0.178％,6.70%。剔除失访病例,38例绒毛膜隆起患者中,8例胚胎停育。220例绒毛膜下血肿患者中,17例胚胎停育。235例正常早孕患者中,21例胚胎停育。胚胎停育发生率分别为21.05%,7.72％及8.93%；绒毛膜隆起组的胚胎停育发生率高于绒毛膜下血肿组及正常早孕组,差异有统计学意义( P=0.010,P=0.025)。绒毛膜下血肿组胚胎停育发生率与正常早孕组比较,差异无统计学意义(P=0.641)。结论:早孕期绒毛膜隆起发生率极低,但其可能有一定的临床应用价值。 |
| 关键词: 绒毛膜隆起 超声 妊娠初期 妊娠结局 胚胎停育 绒毛膜下血肿 |
| DOI： |
| 投稿时间：2018-07-11修订日期：2018-07-11 |
| 基金项目: |
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| Ultrasonic findings and clinical significance of chorionic bump in first-trimester pregnancy |
| CHEN Xiu-juan |
| (The Peoples’s hospital of longhua) |
| Abstract: |
| Objective To investigate the sonographic features of chorionic bump in early pregnancy and its clinical significance. Methods This was a retrospective analysis. The sonographic features of chorionic bump, subchorionic hematoma and normal pregnancy by transvaginal ultrasound examination were compared. Then followed-up the pregnancy outcome and analyze its influence on pregnancy outcome. Results Chorionic bump which is an local irregular ,convex bulge from the choriodecidual surface into the first-trimester gestational sac, and there was no blood flow signal. Among 33691 cases of early pregnancy, 60 cases with chorionic bump and 2257 cases with subchorionic hematoma. The detection rate was 0.178% and 6.70% respectively. Of the 38 cases with chorionic bump, 8 (21.05%)embryo development arrested vs 17/220(7.72% )in the subchorionic hematoma group (P=0.010), and vs 21/235 (8.93%)in the normal pregnancy group( P=0.025).There were no statistical significance in the incidence of embryo development arrest between the subchorionic hematoma group and the normal pregnancy group (P=0.641). |
| Key words: Chorionic bumps Ultrasonography Pregnancy trimester, first Pregnancy outcome Embryo development arrest Subchorionic hematoma |
