最新彩色多普勒超声的临床应用3教学讲义ppt课件.ppt

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1、彩色多普勒超声的临床应用3解剖概要(Anatomy）解剖概要Anatomy粘膜下肌瘤subendometrialmyoma子宫肌瘤(myomaofuterus)声像特征（USG）子宫肌瘤(myomaofuterus)声像特征（USG）浆膜下肌瘤subserousmyoma粘膜下肌瘤subendometrialmyoma壁间肌瘤intramuralmyoma子宫肌瘤(myomaofuterus)声像特征（USG）浆膜下肌瘤subserousmyoma粘膜下肌瘤subendometrialmyoma子宫肌瘤(

2、myomaofuterus)◆早期妊娠first-trimesterpregnancy(≤12weeks)◆中、晚期妊娠Latesecondandthird-trimesterpregnancy(13-27w末为中期妊娠,28-40w为晚期妊娠)妊娠分为三个阶段：产科超声检查（ObstetricsExamination）排卵与植入OvulationandImplantationendometriummyometriumperimetriumovariesbroadlig.①fertilization②cl

3、eavagandmovingtothecavityoftheuterus④ZPstarttodisappear⑤prepareforimplantation③morulaenterintothecavityampullaovulationoviductuterusfollicle桑椹胚胚胎植入ImplantationuterineglandsdeciduacapillarySyncytiotro.ICMcytotroblastcavityepiblastamnioticsacyolksacACBgermi

4、naldiscDextraembryonicmesodermexocoelomPri.villusstementoblastamnioticcavity产科超声检查（ObstetricsExamination）妊娠囊gestationalsac(5weeks)妊娠(gestation)USGoffirst-trimesterpregnancy(≤12weeks)USGoffirst-trimesterpregnancy(≤12weeks)妊娠(gestation)Transvaginalexaminati

5、on(>5MHz)(6~7weeks)妊娠囊gestationalsac胚胎embryoUSGoffirst-trimesterpregnancy(≤12weeks)妊娠(gestation)Transabdominalexamination(>3MHz)(6~7weeks)妊娠囊gestationalsacEmbryoandfetalheart胚胎胚胎及原始心管Embryoandfetalheart(6~7weeks）妊娠(gestation)USGoffirst-trimesterpregnancy(

6、≤12weeks)双胎妊娠(twingestations)双胎囊twoseparatedgestationalsacTransabdominalexamination(>3MHz)(5~6weeks)USGoffirst-trimesterpregnancy(≤12weeks)双胎妊娠(twingestations)USGoffirst-trimesterpregnancy(≤12weeks)双胎囊和双胚胎twoseparatedgestationalsacandEmbryo（8W）妊娠(gestatio

7、n)胚胎及原始心管Embryoandfetalheart(6~7weeks）(10weeks）USGoffirst-trimesterpregnancy(≤12weeks)中、晚期妊娠超声表现Thesecondandthird-trimesterofpregnancy(13-27w末为中期妊娠,28-40w为晚期妊娠)产科超声检查（ObstetricsExamination）◎羊膜囊逐渐充满宫腔,胚外体腔消失amnioniccystfillwiththeuterinecavityandtheexocoel

8、omdisappears◎可清晰显示子宫内胎儿（胎头、脊柱、胸部、腹部及肢体）、羊水、胎盘USGshowsfetus（head,spine,thoracicpart,abdomanandlimbs）,amnioticfluidandplcenta中、晚期妊娠超声表现Thesecondandthird-trimesterofpregnancy(13~40w)妊娠pregnancy(36W)产科超声检查（ObstetricsExa