Not on transvaginal ultrasound diagnosis of ruptured tubal pregnancy.doc

 PAGE \* MERGEFORMAT 8 Not on transvaginal ultrasound diagnosis of ruptured tubal pregnancy [Keywords:] tubal pregnancy by transvaginal ultrasound Tubal pregnancy ectopic pregnancy is one, also known as ectopic pregnancy, with the increased incidence of ectopic pregnancy, given basis for the clinical diagnosis of ectopic pregnancy provided it is particularly important in the clinical symptoms typical of the past, has not yet occurred tubal rupture, ultrasound is difficult for clinical to make an early diagnosis. With the improvement of B-diagnosis, β-HCG and vaginal ultrasound quantitative determination of the use of unruptured tubal pregnancy to early diagnosis possible, not in the fallopian tube rupture, ultrasound detected the ectopic pregnancy mass its possible. Select January 2007 ~ December 2009, we used vaginal ultrasound diagnosis of tubal pregnancy in 27 cases, by transvaginal ultrasound detected 38 cases of ectopic pregnancy sonogram analysis in order to make possible the early clinical provide valuable diagnostic information. 1 Clinical data General Information The group of 38 patients aged 22 to 40 years, mean 31 years old. 11 to 17 years age at menarche, menstrual cycle, 28 to 35 days, stop by the history of 6 weeks. Of which 16 cases of chronic pelvic inflammatory disease (59%), intrauterine IUD placed in 8 cases (30%), fallopian tube after surgery in 3 patients (11 %). predisposing factors have different degrees of tubal function in rats. 2 Ultrasound First of all two-dimensional ultrasound, with or without intrauterine pregnancy sac clear, bilateral annex areas without mass, with or without pelvic fluid, and vaginal examination revealed ectopic pregnancy mass, the measured mass size, line color multi-spectral Energy Le ultrasound and examination, observation echoes within the mass and color, energy distribution, and select the flow signal was measured at blood flow velocity and resistance index. Two-dimensional