经阴道超声在输卵管异位妊娠早期诊断中的应用价值-声学技术.pdfVIP

第 35 卷第 2 期 声 学 技 术 Vol.35, No.2 2016 年 4 月 Technical Acoustics Apr., 2016 经阴道超声在输卵管异位妊娠早期诊断中 的应用价值 黄 帆，洪向丽，郭丽丽 ( 同济大学附属第一妇婴保健院，上海 200040) 摘要：目的：探讨分析经阴道超声在输卵管异位妊娠早期诊断中的临床应用价值。方法：对我院自 2013 年 01 月至 2015 年 03 月来院的 190 例疑似输卵管异位妊娠患者，对其进行早期经阴道超声诊断，并将结果与最终临床诊断进行 比较分析。结果：190 例疑似输卵管异位妊娠患者，经手术后均得到确诊。术前经阴道超声诊断后确诊为 187 例，正 确率为 98.42% 。其中，壶腹部妊娠 168 例(88.42%)，峡部妊娠 16 例(8.42%)，间质部妊娠 3 例(1.58%) 。误诊 2 例(1.05%)， 漏诊 1 例(0.53%) 。结论：经阴道超声对早期诊断输卵管异位妊娠准确率高，误诊及漏诊率低，为患者及时有效的治 疗提供了临床依据，具有良好的临床应用价值。 关键词：异位妊娠；输卵管；超声检查；早期诊断 中图分类号：TB566 文献标识码：A 文章编号：1000-3630(2016)-02-0137-05 DOI 编码：10.16300/ki.1000-3630.2016.02.010 Evaluating the value of transvaginal ultrasonography in early diagnosis of tubal ectopic pregnancy HUANG Fan, HONG Xiang-li, GUO Li-li (Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200040, China ) Abstract: Objective: To evaluate the clinical value of transvaginal ultrasonography in early diagnosis of tubal ectopic pregnancy. Methods: Between January 2013 and March 2015, 190 cases with suspected tubal ectopic pregnancy in our hospital underwent transvaginal ultrasound diagnosis, and then the ultrasound diagnosis results were compared with the final operation and pathology results. Results: All the 190 cases with suspected patients are proved to be tubal ectopic pregnancy by operations, and 187 cases are diagnosed with transvaginal ultrasound before operation, the diagnostic accordance rate is 98.42%. In the 187 cases of tubal ectopic pregnancy, ampullary tubal pregnancy accounts for 88.4