经腹及经阴道彩色多普勒超声诊断早期输卵管异位妊娠比较.docVIP

经腹及经阴道彩色多普勒超声诊断早期输卵管异位妊娠比较[摘要] 目的 比较早期输卵管异位妊娠行经阴道及经腹彩超检测结果，探讨阴道彩色多普勒超声诊断价值。方法2008年1月～2011年1月经手术病理证实的早期输卵管妊娠患者70例，使用仪器为RT-3000、EUB-2000超声诊断仪，Acuson-Aspen彩色多普勒超声诊断仪，分别经腹部全面扫查后再经阴道进一步观察子宫腔及附件区肿块的细微结构及血流情况等。结果“输卵管环”直径1.5～3.4cm的圆形或椭圆形环，环壁为稍强回声，中心为无回声区，滋养层血流频谱阻力指数（RI）最高0.53，最低小于0.39，平均（0.43±0.07）。阴道超声诊断“输卵管环”阳性率97.14%、滋养层血流频谱阳性率92.86%、诊断符合率98.57%，均高于经腹壁超声的71.43%、60.00%、78.57%（P＜0.05）。结论 经阴道超声的应用使早期输卵管妊娠的诊断率大为提高，可作为可靠的首选方法，值得推广应用。 [关键词] 早期输卵管异位妊娠；经阴道；经腹；彩超 [中图分类号] R714.22 [文献标识码] B [文章编号] 1673-9701（2011）21-109-02 Compared of Abdominal and Transvaginal Color Doppler Ultrasound Diagnosis Early Oviduct Ectopic Pregnancy LIN Wenwei The Huangyan District Red Cross Hospital of Taizhou，Taizhou 318020，China [Abstract] Objective To compare early eggs tube ectopic pregnancy through the vaginal and abdominal color dopplar ultrasound test results，explore transnational color doppler ultrasound diagnostic value. Methods From January 2008 to January 2011，the pathology confirm by surgery patients with early 70 cases eggs tube pregnancy，use the instrument for RT-3000，EUB-2000 ultrasound diagnostic instrument， Aspen Acuson-color doppler ultrasound diagnostic instrument， by abdominal comprehensive scanning respectively by transvaginal again after further observation uterine cavity and accessories area lumps of fine structure and blood flow，etc. Results “Oviduct ring” diameter 1.5-3.4cm round or oval ring，ring for slightly stronger echo wall，center for no echo area，trophoblastic blood spectrum resistance index（RI） highest 0.53 minimum less than 0.39，average was （0.43±0.07），vaginal ultrasound diagnosis “oviduct ring” 97.14%，trophoblastic blood flow rate of diagnostic accuracy rate 92.86%，spectrum by abdominal ultrasound 98.57% were higher than the 71.43%，60.00%，78.57%（P＜0.05）. Conclusion The application of transvaginal ultrasound to the diagnosis of early stage non-reptured tubal preghancy，can greatly improve the preferred method as reliable and popularization. [Key words]