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目的探讨超声波在诊断早期输卵管异位妊娠的临床应用价值。方法选择30例有阴道不规则流血、疑似输卵管异位妊娠患者,使用超声进行早期诊断,再与临床诊断(包括临床表现、手术结果及病理结果)进行对照分析。同时比较腹壁超声与阴道超声的不同诊断效果。结果 30例病例经超声诊断均为输卵管异位妊娠,其超声检查结果为:7例超声探及孕囊样无回声,4例探及有稍强回声环,6例合并宫内假孕囊回声,5例见血流环绕,18例见混合回声包块。有19例探及腹腔、盆腔积液。手术及病理结果证实,30例均系输卵管异位妊娠,包括未破裂型输卵管妊娠、流产型输卵管妊娠及破裂型输卵管妊娠。阴道与腹壁两种超声检查方法对附件包块、血流及盆腔积液的检出,差异有统计学意义(P<0.05)。结论超声早期诊断检查结果与临床诊断结果一致,认为超声诊断检查早期输卵管异位妊娠结果准确,有临床应用价值。同时认为阴道检查比腹壁检查更准确。
Objective To investigate the clinical value of ultrasound in the diagnosis of early tubal ectopic pregnancy. Methods Thirty patients with vaginal irregular bleeding and suspected tubal ectopic pregnancy were selected for early diagnosis by ultrasound and then compared with clinical diagnosis (including clinical manifestations, surgical findings and pathological findings). At the same time, the different diagnosis of abdominal ultrasound and vaginal ultrasound were compared. Results 30 cases of ultrasound diagnosis of tubal ectopic pregnancy, the ultrasound examination results were: 7 cases of gestational sac ultrasound and no echo, 4 cases of exploration and slightly stronger echo ring, 6 cases of intrauterine false cyst echo , 5 cases of blood flow around, 18 cases of mixed echo mass. 19 cases of exploration and abdominal cavity, pelvic fluid. Surgical and pathological results confirmed that 30 cases were tubal ectopic pregnancy, including unruptured tubal pregnancy, abortion tubal pregnancy and ruptured tubal pregnancy. Vaginal and abdominal ultrasound examination of the two methods of attachment mass, blood flow and pelvic fluid were detected, the difference was statistically significant (P <0.05). Conclusion The result of early diagnosis of ultrasound is consistent with the results of clinical diagnosis. It is concluded that the early diagnosis of tubal ectopic pregnancy by ultrasound is accurate and has clinical value. At the same time that vaginal examination than abdominal examination more accurate.