宫外孕超声诊断对临床保守治疗的意义.pdfVIP

· 60· 黑龙江医药 Heilongjiang Medicine Joum~Vo1．21 I4o．1 2008 宫外孕超声诊断对临床保守治疗的意义 吕静云 镇江市中医院 摘要 目的：探讨宫外孕超声诊断对临床保守治疗的意义。方法：回顾分析近四年多来我院因异位妊娠住院保 守治疗的15例患者(均经超声检查)，其中4例保守治疗后转手术治疗且经病理证实。结果：保守治疗15例患者，其中 治疗缓解 治愈的1l例( 73．3％)，保守治疗失败后行手术切除的2例(占13．3％)，保守治疗后好转但患者要求手术 治疗的2例(占13．3％)。结论：充分掌握早期宫外孕的各种超声表现，提高超声诊断准确率，对指导临床保守治疗有 重要的临床价值。 关键词 超声检查；宫外孕；保守治疗 中囝分类号：R714．22 文献标识码：A 文章编号：1006--2882(2008)01--62--02 Evaluation of Ultrasonic diagnosis on the Conservative Treatment of Pregnancy Ectopic Lu Jingyun Department of Ultrasound，Zhenjiang TCM Hospital，(Zhenjiang 212000,China) Abstract Objective．．To study the value of ultrasound diagnosis on the oonservative treatment of Pregnancy ec~pic．Methods：Retrospective analysis 15 which oonservative treatment in our h。spital becauSe of ec幻pic pregrmncy in the past four years(both by ultrasound examination)．4 cas~s of the total、^7ere treated by surgery after cc~servative ther- apy and confimaed by pathokgy．R~ults：15 patients which oonservative treatment．The cured patients were 11 cases (73．3％)，and the failure of oonservative treaWnent received subtotal resection patients were 2 cases(13．3％)，．and the improved after oonservative therapy but patients require Sl】 ca1 treatment vc~re 2 cases(13．3％)．Conclusion：Fully grasp the early ectopic pregnancy ultrasound performance can iinprove ultrasound diagn~tic accuracy rate and important clinical value of clinical guidelines for conservative trealment． Key words Ultrsoncgraphy；Pregnancy ec~pic；Conservative treatment I 临床资料 表现胎囊型；2例保守治疗后好转但患者要求手术治疗，超声 近年来我院因异位妊娠住院保守治疗15例病人，年龄18 显示为附件区不均质包块，边界模糊