Objective To explore the clinical value of transvaginal ultrasound (TVS) in diagnosis for septate uterus with early pregnancy.Methods 31 patients with septate uterus with early pregnancy confirmed by surgery and pathology were retrospectively analyzed according to postoperative pathological diagnosis and the characteristics of TVS.Results According to results of ultrasound images, septate uterus with early pregnancy was divided into two types: complete septate uterusl0 cases) and incomplete septate uterus (21cases).26 patients were accurately diagnosed in 31 cases of septate uterus with early pregnancy (accuracy rate was 83.9％).2 cases were misdiagnosed as cornual pregnancy and 2 cases as eccentric intrauterine pregnancy.1 case missed diagnosis.Conclusion TVS is a feasible way with important clinical value for diagnosis of septate uterus with early pregnancy.%目的 探讨经阴道超声对分隔子宫并早期妊娠的诊断价值.方法 回顾性分析31例分隔子宫早期妊娠经阴道超声的声像图特征,并对结果进行分析.结果 超声声像图显示完全型分隔子宫合并妊娠10例、不完全型分隔子宫合并妊娠21例.超声正确诊断26例,准确率83.9%.误诊为子宫角部妊娠2例,误诊为偏心性宫内孕2例,漏诊1例.结论 经阴道超声对分隔子宫并早期妊娠是一种可靠的诊断方法,具有重要的临床价值.
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