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中华医学超声杂志(电子版) ›› 2017, Vol. 14 ›› Issue (08) : 636 -638. doi: 10.3877/cma.j.issn.1672-6448.2017.08.013

所属专题: 经典病例 文献

病例报告

超声随访观察胰体后方流产型异位妊娠一例
于亮1, 叶添添2, 夏宇2,()   
  1. 1. 015000 内蒙古巴彦淖尔市临河区人民医院超声科
    2. 100730 中国医学科学院协和医科大学 北京协和医院超声医学科
  • 收稿日期:2017-01-04 出版日期:2017-08-01
  • 通信作者: 夏宇

Ultrasound following up of abortive ectopic pregnancy posterior to the body of pancreas: a case report

Liang Yu1, Tiantian Ye2, Yu Xia2()   

  • Received:2017-01-04 Published:2017-08-01
  • Corresponding author: Yu Xia
引用本文:

于亮, 叶添添, 夏宇. 超声随访观察胰体后方流产型异位妊娠一例[J]. 中华医学超声杂志(电子版), 2017, 14(08): 636-638.

Liang Yu, Tiantian Ye, Yu Xia. Ultrasound following up of abortive ectopic pregnancy posterior to the body of pancreas: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2017, 14(08): 636-638.

图1~4 患者首诊超声与腹部CT平扫影像图。图1 停经50 d二维超声首诊检查显示患者胰腺后方混合回声区(箭头所示),边界清晰,内部见2个无回声区,其中1个较大无回声区内见直径4.0 mm无回声区;图2彩色多普勒血流成像示混合回声区(箭头所示)右上边缘与胰腺后方交界处见一红一蓝两细束条状血流信号;图3 经阴道子宫体纵切面超声扫查,宫腔内不规则无回声区消失;图4 腹部CT平扫示胰腺后下方腹主动脉旁见圆形混杂密度影(箭头所示)
图6,7 停经61 d,出血后7 d,第1次超声随访声像图表现。图6 与首诊超声声像图相比,胰腺后方混合回声区(箭头所示)体积变化不明显,内部结构明显变化,两个无回声区消失,内部絮状低回声充填,囊性成分增多;图7 经腹部子宫纵切超声示宫腔线无分离,宫腔积液消失
图11 出血后5个月,第4次超声随访声像图表现。与首诊及前次超声随访声像图相比,腹部胰腺水平横切面正常,胰腺后方混合回声区完全消失
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