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三维经阴道超声诊断单角子宫间质部异位妊娠 1 例报告。

Three-dimensional transvaginal ultrasound diagnosis of interstitial ectopic pregnancy in a unicornuate uterus: A case report.

机构信息

Department of Ultrasound, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

J Clin Ultrasound. 2024 May;52(4):473-477. doi: 10.1002/jcu.23641. Epub 2024 Jan 30.

Abstract

A rare case of unicornuate uterus with interstitial ectopic pregnancy was diagnosed using three-dimensional transvaginal ultrasound (3D-TVUS). The ultrasound revealed a "lancet-shaped" endometrial corona, a gestational sac near the uterus base extending toward the uterine serosa, and visible interstitial lines. The patient underwent laparoscopic surgery for a lesion in the right fallopian tube. 3D-TVUS was crucial in precisely locating the gestational sac, aiding in effective treatment. Interstitial ectopic pregnancies risk severe hemorrhaging upon rupture. Rapid, accurate diagnosis is vital for lifesaving treatment and preventing critical complications.

摘要

经三维经阴道超声(3D-TVUS)诊断为罕见的单角子宫合并间质部异位妊娠。超声显示“柳叶形”的子宫内膜冠,靠近子宫底部的孕囊向子宫浆膜延伸,并可见间质线。患者因右侧输卵管病变行腹腔镜手术。3D-TVUS 对于精确定位孕囊至关重要,有助于有效治疗。间质部异位妊娠破裂后有大出血的风险。快速、准确的诊断对于挽救生命和预防严重并发症至关重要。

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