彩色多普勒超声在宫外孕中的诊断价值.doc

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彩色多普勒超声在宫外孕中的诊断价值

彩色多普勒超声在宫外孕中的诊断价值【摘要】目的：

探讨彩色多普勒超声在宫外孕中的诊断价值。

方法:选取我院自2006年1月至2008年1月间术前经彩色多普勒超声诊断的宫外孕患者90例，总结分析超声诊断符合率、声像特征等。

结果:本组90例患者后经手术、病理证实为宫外孕者86例，准确率为95.56%。

本组64例(66.67%)患者子宫轻度增大。

输卵管妊囊型27例(30.00%)，表现为较完整胎囊强回声光环，部分见胚芽;输卵管包块型52例(57.78%)，表现为边界不规则的包块回声，内部回声不均匀，胎囊显示不清楚;输卵管妊娠破裂出血时盆腔可见少或中量积液等。

CDFI检查显示在囊实肿块内或周边见到点状或条状彩色血流信号，呈动脉样血流频谱，包络线不清楚，呈单相或双向低阻力，Vs为(50.055.02)cm/s，Vd为(23.204.45)cm/s，RI为(0.430.02)。

结论:彩色多普勒超声在诊断宫外孕中具有其他检查方式无法比拟的优势，值得临床应用。

【关键词】彩色多普勒超声;宫外孕;诊断DiagnosticValueofColorDopplerforPatientswithEctopicPregnancyBAOGuo-an,LINXi-yu(ThePeople’sHospitalofLianjiang,GuangdongLianjiang524400,China)Abstract：

Objective：

Toinvestigatethediagnosticvaluesofcolordoppleronpatientswithectopicpregnancy.Method:90caseswithectopicpregnancyswhoreceivedcolordopplerultrasonicdiagnosisinourhospitalfromJanuaryin2006toJanuaryin2008wereselectedandthecoincidenceofultrasonicdiagnosisandfeatureofacousticimagewereanalyzed.Result:86casesin90patientswereconfirmedtobeectopicpregnancybyoperationandpathology,andthecoincidenceofultrasonicdiagnosiswas95.56%.Theuterusof64cases(66.67%)becamealittleaugmentation.27cases(30.00%)werewithtypeofuterinetubepregnant-scrotiform,andthefeatureofacousticimagewerethedenseechoofwholegestationalsacinaccompaniments,fewwithplumules.The52cases(57.78%)werewithtypeofuterinetubeclumps,andthefeatureofacousticimageshowedclumpechowereirregularityboundary,internalechowereuneven,gestationalsacwerenotclearandtherewerealittleorafewoffluidifywhentubalpregnancyswereruptured.TheCDFIshowedthatthepunctiformorstripcolorbloodflowsignalwerefound,whichbloodcurrentspectrumwereliketheartery,envelopecurveswerenotclear,