首页|经腹经阴道超声检查诊断输卵管妊娠的价值

经腹经阴道超声检查诊断输卵管妊娠的价值

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目的:探讨经腹部超声(TAS )经阴道超声(TVS)联合运用在输卵管妊娠诊断中的价值。方法对2011年1月-2013年1月经TAS及TVS联合检查,并经手术治疗病理证实,诊断为输卵管妊娠的37例病例的声像图进行回顾性分析。结果输卵管妊娠声像图表现为孕囊型、杂乱包块并盆腔积液、不均质实质性小包块。TAS与TVS对附件区包块诊断的敏感性与包块大小有关,二者对早期小于3cm包块的诊断敏感性有显著差异。37例输卵管妊娠患者TVS检查,符合率94.5%;TAS检查,符合率54%。结论 TVS对未破裂型异位妊娠小包块的显示有明显优势,可用于输卵管妊娠的早期诊断。TAS对位置过高或输卵管妊娠流产形成大于5cm包块有很好显示。两种检查方法联合应用,可明显提高诊断准确率。
The value of diagnosing the tubal pregnancy by TAS and TVS
Objective Investigating the value of TAS and TVS in the diagnosing of tubal pregnancy.Method Make a retrospective analysis to the 37 cases that happened between January 2011 and January 2013, which have been diagnosed as tubal pregnancy by the TAS and TVS. Results The sonographic of tubal pregnancy can be classified into three sorts: gestational sac type;messy mass and pelvic fluid;substantive small heterogeneous mass. The size of the mass has influence to the accuracy of TAS and TVS, the influence is apparent when the size is less than 3cm. Among the 37 cases, the compliance rate of TVS is 94.5% and the TAS is 54%.Conclusion The TVS has a apparent superiority to TAS when they were done to the small unruptured mass of ectopic pregnancy, so TVS can be used effectively in the early diagnosing of tubal pregnancy. When the size of the mass is greater than 5cm, TAS would be useful.In the end, if TAS and TVS were used at the same time, the accuracy of the diagnosing a tubal pregnancy can be guaranteed.

Tubal pregnancyTASTVS

李华琼

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443413 湖北省宜昌市五峰县人民医院超声影像科

输卵管妊娠 经腹超声 经阴道超声

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(23)
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