Sonographic features of rudimentary uterine horn pregnancy in first-trimester with 14 cases analysis

WU Shudao; LIU Zhi

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Sonographic features of rudimentary uterine horn pregnancy in first-trimester with 14 cases analysis

更新时间：2025-12-15

- Sonographic features of rudimentary uterine horn pregnancy in first-trimester with 14 cases analysis
- Vol. 26, Issue 2, Pages: 141-144(2017)
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- Published Online：02 June 2017，
  
  Published：02 June 2017
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吴淑道,刘智. 早孕期残角子宫妊娠的超声表现附14例分析[J]. 肿瘤影像学, 2017, 26(2): 141-144
DOI：

吴淑道,刘智. 早孕期残角子宫妊娠的超声表现附14例分析[J]. 肿瘤影像学, 2017, 26(2): 141-144 DOI：

摘要

目的：

分析早孕期残角子宫妊娠的超声声像图表现，探讨超声诊断价值，以提高对该病的诊断水平。　

方法：

回顾性分析复旦大学附属妇产科医院经超声检查并经手术和病理证实的早孕期残角子宫妊娠14例，分析其超声声像图表现。

结果：

14例子宫宫腔均呈单角状。典型声像图表现11例：对侧宫旁见一妊娠囊样结构，与正常宫颈管不相通，妊娠囊周围有正常肌层结构。3例缺乏明显典型声像图特征：对侧宫旁见一混合性包块，其内未见妊娠囊及胚芽结构1例，包块周围未见正常肌层结构3例。

结论：

早孕期残角子宫妊娠大部分具有典型的超声声像图特征，结合临床及其他检查，有助于疾病诊断。

Abstract

Objective:

To analyze the sonographic features of rudimentary uterine horn pregnancy in first-trimester.

Methods:

The sonographic features of 14 cases with rudimentary uterine horn pregnancy in first-trimester confirmed by surgery were analyzed retrospectively.

Results:

Eleven cases had the typical sonographic signs with gestational sac on the contralateral side of uterus

absent visual continuity between the cervical canal and the lumen of the pregnant horn

and presence of myometrial tissue surrounding the gestational sac. Three cases had no typical sonographic features. One case had mixed mass without displaying of gestational sac on the contralateral side of uterus. Three cases did not show the obvious myometrial tissue surrounding the gestational structures on the contralat

eral side of uterus. One case was misdiagnosed.

Conclusion:

The typical ultrasonic features of rudimentary uterine horn pregnancy in first-trimester could be used as criteria to improve the diagnostic accuracy.

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