B超对宫内早孕囊、假孕囊与空孕囊的鉴别及其临床意义

摘要

目的：探讨B超用于宫内早孕囊、假孕囊、空孕囊的鉴别意义。方法：选取2011年6月-2012年12月笔者所在医院产科经临床或手术证实为宫内早孕囊、假孕囊、空孕囊患者各20例，分别作为早孕组、假孕组和空孕组，对所有患者B超检查资料进行回顾性分析。结果：早孕组患者随着就诊时孕周的增长孕囊平均直径呈现明显上升趋势，假孕组各孕周间孕囊平均直径比较差异无统计学意义(P>0.05)，空孕组虽有孕囊增大，但两组与早孕组7~8周、9~10周患者比较明显较小(P<0.05)，与孕龄不符。早孕组检出卵黄囊18例，双环征12例，假孕组患者均无卵黄囊和双环征，空孕组检出卵黄囊7例，但无双环征。结论：B超鉴别早孕囊、假孕囊、空孕囊是指导临床正确处理早期妊娠的关键。%Objective:To investigate the distinguishing significance of the ultrasound when used in identifying the early gestational sac,spurious and empty pregnant sac.Method:Each 20 patients were divided into 3 groups(early gestational sac goup,spurious gestational sac group and empty gestational sac group),who were all confirmed by clinic or surgery approaches from June 2011 to December 2012.All patients’ examination results of ultrasonic were analyzed retrospectively.Result:In early gestational sac group,the average diameter of pregnant sac shows obvious rising trend when the gestational age increased.18 patients’ yolk sac and 12 patients’ double circle symptom were detected.In spurious gestational sac group,the average diameter of pregnant sac showed no significant difference(P>0.05).No yolk sac or double circle symptoms were detected.While in empty pregnant bursa group,the average diameter of pregnant saca had increased,but the increasing trend was much smoother when compared with early gestational sac group(P<0.05),and was out of tune with the normal gestational age.7 patients’ yolk sac were detected,however there was no double circle symptoms existed.Conclusion:Ultrasound is the key clinic method to distinguish early, spurious or empty pregnant sac.