摘要
目的探讨经阴道超声对早期未破裂型输卵管妊娠的诊断价值。方法对该院2004年3月～2009年6月171例经阴道超声检查并经腹腔镜术后病理证实的未破裂型输卵管妊娠患者的声像图进行回顾性分析。结果 167例患者经阴道超声诊断为异位妊娠,诊断符合率为97.66%(167/171),其中典型孕囊型58例,不典型孕囊型48例,包块型61例,漏诊4例(4/171)。结论经阴道超声能提示输卵管妊娠的大小、部位以及胚胎是否成活,结合血β-hCG对早期输卵管妊娠具有较高的诊断价值,而腹腔镜能对输卵管妊娠作出明确的诊断并施行手术。
【Objective】To investigate the transvaginal ultrasound in early unruptured tubal pregnancy diagnosis.【Methods】From March 2004 to June 2009 in our hospital,171 cases of transvaginal ultrasound examination and confirmed by pathology after laparoscopic surgery unruptured tubal pregnancy in patients with sonography were retrospectively analyzed.【Results】167 cases of transvaginal ultrasound in patients diagnosed as ectopic pregnancy,diagnostic accuracy rate was 97.66% （167/171）,of which 58 cases of cystic typical pregnancy,pregnancy is not a typical,48 patients with cystic,mass in 61 cases of type,missed four cases （4/171）.【Conclusion】Transvaginal ultrasound can accurately tips tubal pregnancy size,location,and whether the embryos survived,combined with serum β-hCG of early tubal pregnancy has a high diagnostic value.The laparoscopic tubal pregnancy can make a clear diagnosis.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第2期181-183,186,共4页
China Journal of Endoscopy
关键词
阴道超声
输卵管妊娠
未破裂
腹腔镜
transvaginal sonography
tubal pregnancy
unruptured
laparoscopic
