探讨产科超声对宫内早孕囊、假孕囊、空孕囊的鉴别

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探讨产科超声对宫内早孕囊、假孕囊、空孕囊的鉴别

作者：邬又明

来源：《饮食与健康·下旬刊》2016年第02期

【摘要】目的：研究分析产科超声对宫内早孕囊、假孕囊、空孕囊鉴别诊断的价值。方法：选取自2012年9月至2015年9月间经本院产科检查或手术确诊的宫内早孕囊、假孕囊、空孕囊患者共60例，各20例，并回顾性分析三组患者的临床病例资料，主要针对三组患者的超声检查结果进行比较。结果：研究结果显示，早孕囊组患者随着时间的延长孕囊的直径随之增长，假孕囊组患者的孕囊不随孕周的增加而增加，而空孕囊组患者的虽然孕囊呈增大趋势，但明显小于早孕组同孕期，患者孕周较明显是在7-10周的孕囊大小相比较。此外，早孕组卵黄囊和双环征均能检出，假孕组均不能检出，而空孕组大多仅能检出卵黄囊。结论：研究表明，超声检查对于宫内早孕囊、假孕囊、空孕囊的鉴别诊断具有重要的意义。 【关键词】超声检查；早孕囊；假孕囊；空孕囊；鉴别诊断

[Abstract] Objective： The value of research and analysis on intrauterine pregnancy sac obstetric ultrasound， false pregnancy sac， empty gestational sac differential diagnosis. Methods： between from September 2012 to September 2015 by the hospital obstetric examination or surgery confirmed intrauterine pregnancy sac， false pregnancy sac， empty gestational sac patients with a total 60 cases， 20 cases， and retrospective analysis of three group of patients with clinical data， mainly for the ultrasound results were compared three groups of patients. Results： The results showed that patients with prolonged pregnancy sac gestational sac diameter of time along with the growth， the group of patients with false pregnancy sac gestational sac does not increase with increasing gestational age， and although the gestational sac was empty gestational sac group of patients increasing trend， but significantly less than the group with first trimester of pregnancy， more pronounced in patients with gestational age at 7-10 weeks of gestational sac size is compared. In addition， the yolk sac and early pregnancy group bicyclic levy could be detected， false pregnancy group were undetectable， and can only be detected mostly empty yolk sac pregnancy group. Conclusion： The study shows that ultrasonography for intrauterine pregnancy sac， false pregnancy sac， empty gestational sac differential diagnosis has important significance.

B超检查已经成为目前临床中重要的检查手段，在产科的检查中也占据主导地位。B超检查主要通过观察孕囊的有无判断妊娠情况。孕囊一般在停经35-90天内可在宫腔内看见，超声检查也是目前临床公认的诊断妊娠结果最为准确的检查手段。早孕囊是一种由血管网和羊膜包裹的一种最原始，是怀孕的最初形态，此时胎儿还未成形，但已经出现胎心跳动[1]；空孕囊是胎停的一种现象，多发生自然流产；假孕囊是非正常妊娠形成的一系列生理反应。采用超声

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