彩色多普勒超声的临床应用-1.ppt

正常女性生殖系统,解剖概要( Anatomy ）,解剖概要,Anatomy,解剖概要,Anatomy,子宫(uterus),子宫大小 Size: length 78cm, width 45cm，thickness 23cm 宫腔线呈高回声 uterine cavity line: hyperechoic 肌层呈等回声myometrium: isoechoic,正常声像图 USG of normal uterus,子宫肌瘤(myoma of uterus),浆膜下肌瘤subserous myoma,壁间肌瘤 intramural myoma,粘膜下肌瘤subendometrial myoma,粘膜下肌瘤subendometrial myoma,子宫肌瘤(myoma of uterus),声像特征（USG）,子宫肌瘤(myoma of uterus),声像特征（USG）,浆膜下肌瘤 subserous myoma,粘膜下肌瘤 subendometrial myoma,壁间肌瘤 intramural myoma,子宫肌瘤(myoma of uterus),声像特征（USG）,浆膜下肌瘤 subserous myoma,子宫肌瘤(myoma of uterus),早期妊娠 first-trimester pregnancy(12weeks) 中、晚期妊娠 Late second and third-trimester pregnancy (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 （Obstetrics Examination）,排卵与植入 Ovulation and Implantation,endometrium,myometrium,perimetrium,ovaries,broad lig.,fertilization,cleavag and moving to the cavity of the uterus,ZP start to disappear,prepare for implantation, morula enter into the cavity,ampulla,ovulation,oviduct,uterus,follicle,桑椹胚,胚胎植入 Implantation,extraembryonic mesoderm,exocoelom,Pri. villus stem,entoblast,amniotic cavity,产科超声检查 （Obstetrics Examination）,妊娠囊gestational sac (5 weeks),妊娠(gestation),USG of first-trimester pregnancy(12 weeks),USG of first-trimester pregnancy(12 weeks),妊娠(gestation),Transvaginal examination (5 MHz) (67 weeks),胚胎embryo,USG of first-trimester pregnancy(12 weeks),妊娠(gestation),Transabdominal examination(3 MHz) (67 weeks),妊娠囊gestational sac,Embryo and fetal heart 胚胎,胚胎及原始心管 Embryo and fetal heart (67 weeks）,妊娠(gestation),USG of first-trimester pregnancy(12 weeks),双胎妊娠(twin gestations),双胎囊 two separated gestational sac,Transabdominal examination(3 MHz) (56weeks),USG of first-trimester pregnancy(12 weeks),双胎妊娠(twin gestations),USG of first-trimester pregnancy(12 weeks),双胎囊和双胚胎 two separated gestational sac and Embryo （8W）,妊娠(gestation),胚胎及原始心管 Embryo and fetal heart (67 weeks）,(10 weeks）,USGof first-trimester pregnancy(12 weeks),中、晚期妊娠超声表现 The second and third-trimester of pregnancy (13-27w末为中期妊娠,28-40w为晚期妊娠),产科超声检查 （Obstetrics Examination）,羊膜囊逐渐充满宫腔,胚外体腔消失 amnionic cyst fill with the uterine cavity and the exocoelom disappears 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 USG shows fetus（head,spine,thoracic part,abdoman and limbs）,amniotic fluid and plcenta,中、晚期妊娠超声表现 The second and third-trimester of pregnancy(1340w),妊娠pregnancy( 36W),产科超声检查 （Obstetrics Examination）,妊娠pregnancy （24W),妊娠(gestation),The second and third-trimester of pregnancy(1340w),Ultrasonography of intrauterine fetus,胎盘placenta,羊水amniotic fluid,妊娠(gestation),The second and third-trimester of pregnancy(1340w),Ultrasonography of intrauterine fetal head,妊娠(gestation),The second and third-trimester of pregnancy(1340w),Ultrasonography of intrauterine fetal head,胎儿双顶径估测孕龄 biparietal diameter(BPD) estimate fetal age,BPD,妊娠(gestation),The second and third-trimester of pregnancy(1340w),Second-trimester views of a normal fetal spine (longitudinal views ),胎儿脊柱呈平行串珠样高回声 Parallel hyperechoic a string of beads,胎儿脊柱 fetus spine,妊娠(gestation),The second and third-trimester of pregnancy(1340w),妊娠(gestation),The second and third-trimester of pregnancy(1340w),Normal longitudinal view of the right side of a 30-week fetus,妊娠(gestation),The second and third-trimester of pregnancy(1340w),Normal l