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目的研讨超声诊断应用于早期宫角妊娠中的临床价值,并分析其误诊原因,最终使超声诊断对宫角妊娠的诊断水平得以提高。方法随机抽取2013年2月至2014年2月的早期宫角妊娠病例共计90例,该90例宫角妊娠的患者均得到手术后的病理证实,分析其超声声像图表现。结果分析证实正确率为72.1%的超声声像图表现,确诊的宫角妊娠患者共计64例,误诊为子宫肌瘤的患者为6例,误诊为纯宫内早孕的患者为8例,误诊为滋养细胞疾病的患者为7例,误诊为输卵管间质部妊娠的患者为5例。结论宫角妊娠的主要诊断手段为超声诊断,超声诊断的优点为有较高的诊断价值,缺点为误诊率较高,因此需要通过改进超声诊断的技术来提高超声诊断在宫角妊娠中的诊断水平。
Objective To study the clinical value of ultrasonic diagnosis in early pregnancy of uterine horn and to analyze its causes of misdiagnosis. Finally, the diagnostic value of ultrasonic diagnosis for uterine horn pregnancy can be improved. Methods A total of 90 cases of early pregnancy with uterine horn were collected from February 2013 to February 2014 at random. The 90 patients with uterine horn pregnancy were confirmed by pathology after operation, and their ultrasonographic findings were analyzed. Analysis of the results confirmed the correct rate was 72.1% ultrasound echocardiography, confirmed a total of 64 cases of uterine pregnancy in patients with misdiagnosed as uterine fibroids in 6 cases, misdiagnosed as pure intrauterine pregnancy in patients with 8 cases were misdiagnosed as Trophoblastic disease in 7 patients, misdiagnosed as tubal pregnancy in patients with 5 cases. Conclusion The main diagnosis method of uterine horn pregnancy is ultrasonic diagnosis. The advantage of ultrasonic diagnosis is high diagnostic value, and the disadvantage is high misdiagnosis rate. Therefore, it is necessary to improve the diagnosis of uterine horn pregnancy by improving the technique of ultrasonic diagnosis Level.