摘要
目的评价经腹与经阴道超声联合诊断宫外孕的应用价值。方法对55例宫外孕患者行腹部超声、阴道超声检查,观察子宫宫腔及宫旁声像图特征。结果经腹超声(TAS)对破裂型宫外孕检出率为100%,经阴道超声(TVS)对未破裂型宫外孕检出率为91.7%。TAS诊断病灶的全貌占优势,TVS诊断病灶的局部占优势。其中住院手术治疗41例,手术证实TAS与TVS联合诊断符合率为100%。结论TAS与TVS二者结合起来可显著提高超声对宫外孕的诊断符合率,具有较高临床应用价值。
Objective To evaluate the method of transvaginal and transabdominal ultrasoundgraphy in diagnosing ectopic pregrancy.Methods Fifty-five cases with ectopic pregnancy were examined by transabdominal（TAS） and transvaginal（TVS） ultrasoundgraphy,and recorded the sonographic features in and beside the uterus.Results TAS is more sensitive in the diagnosis of ruptured ectopic pregnancy.TVS is more sensitive in the diagnosis of early unruptured ectopic pregnancy.TAS is more sensitive in discovering full view exploration of the focus.TVS is more sensitive in the local focus of the ectopic pregnancy.Fourty-one cases of ectopic pregnancy patients were operated in in-patient department,the operational pathological results approve that the positive coincidence rate of combined use of TVS and TAS was 100%.Conclusion Combined transvaginal and transabdominal ultrasoundgraphy can improve accuracy in diagnosing ectopic pregnancy with high clinical merit.
出处
《华中医学杂志》
2009年第2期88-89,共2页
Central China Medical Journal
