经阴道彩超在异位妊娠治疗中的应用价值.docVIP

经阴道彩超在异位妊娠治疗中的应用价值 　　[摘要] 目的 探讨经阴道彩色超声在异位妊娠治疗中的应用价值。 方法 对本院2010年1月1日～2011年12月21日妇产科门诊及住院患者中的50例异位妊娠患者的声像图特征及临床资料进行分析和总结。 结果 经阴道彩色超声对异位妊娠的直接表现诊断阳性率为96%，直接声像图主要表现：胎囊型6例，混合包块型44例。其中按与子宫的关系分为（经手术证实的病例）：宫角妊娠2例，输卵管妊娠33例，瘢痕妊娠7例，宫颈部妊娠3例，定位准确率为96%，且与HCG异常升高直接相关。 结论 经阴道彩色超声是目前诊断异位妊娠的重要手段，且比经腹超声诊断时间提前，诊断准确性高，可提供异位妊娠包块的形态学特征，了解其位置，大小、盆腔积液多少的测量，为临床手术或非手术保守治疗提供了精确的监测价值。 　　[关键词] 经阴道彩色超声；异位妊娠；诊断价值 　　[中图分类号] R445.1 [文献标识码] B [文章编号] 1674-4721（2013）07（a）-0090-02 　　Application value of transvaginal color Doppler ultrasound on ectopic pregnancy treatment 　　YE Chun-mei LI Qin FANG Shao-bing 　　Department of Ultrasound，Baoan District Peoples Hospital of Shenzhen City，Shenzhen 518101，China 　　[Abstract] Objective To investigate the value of transvaginal color ultrasound in ectopic pregnancy treatment.Methods in our hospital from January 1，2010 to December 21，2011 period of Obstetrics and Gynecology outpatients and inpatients 50 cases of ectopic pregnancy patients with ultrasonographic characteristics and clinical data were analyzed and summarized.Results Using transvaginal color Doppler ultrasound on ectopic pregnancy diagnosis directly showed the positive rate was 96%，the direct sonographic mainly：6 cases of fetal cystic type，44 cases of mixed mass.According to the relationship with uterine cornua divided into：2 cases of corner house，33 cases of tubal pregnancy，7 cases of cesarean section scar，3 cases of cervical part，positioning accuracy rate was 96%，and was directly related to the abnormal elevation of HCG.Conclusion Transvaginal color Doppler ultrasound in diagnosis of ectopic pregnancy is currently an important means，and the ratio of transabdominal ultrasonography for the diagnosis of advanced，high diagnostic accuracy can provide ectopic mass morphological features，understand its position，size，pelvic effusion many measurements for clinical operation，operation or conservative treatment provides accurate monitoring value. 　　[Key words] Transvaginal color Doppler ultrasound；Ect