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为研究子宫超声(USG)及磁共振(MRI)对间质部妊娠早期诊断的价值,对1997年4月～1997年11月日本神户大学医院4例输卵管间质部妊娠患者临床特征及诊治情况进行回顾性分析。患者体检下腹压痛伴或不伴有反跳痛,月经均超期1～4周(停经35～56天),例1及例4疑诊宫内妊娠流产进行了扩刮宫。4例尿β-hCG水平均为正常孕周时水平或较正常水平略低,患者均经剖腹或腹腔镜手术切除子宫角部,并经肉眼及病理检查证实为间质部妊娠。分别对其阴道超声及MRI影像学发现进行分析。 阴道超声显示:例1～3均有一偏离子宫的圆
To study the value of USG and MRI in the early diagnosis of interstitial pregnancy, the clinical features, diagnosis and treatment of 4 tubal interstitial pregnancy in Kobe University Hospital from April 1997 to November 1997 were analyzed retrospectively. Retrospective analysis. Patients with abdominal pressure test with or without rebound tenderness, menstruation are extended 1 to 4 weeks (35 to 56 days after menopause), cases 1 and 4 suspected intrauterine pregnancy abortion was carried out curettage. 4 cases of urinary β-hCG levels were normal gestational weeks or slightly lower than normal levels, the patients were cesarean section or laparoscopic surgery to remove the uterine horn, and confirmed by the naked eye and pathological findings of interstitial pregnancy. Their vaginal ultrasound and MRI findings were analyzed. Vaginal ultrasound showed: cases 1 to 3 have a deviation from the uterus of the circle