经阴道超声诊断宫外孕的临床应用体会

J4 ›› 2011, Vol. 10 ›› Issue (8): 71-72.

经阴道超声诊断宫外孕的临床应用体会

昆钢医院，昆明 650302

收稿日期:2010-11-18 出版日期:2011-08-15 发布日期:2011-08-15
作者简介:温美艳，主治医师，主要从事妇产科研究.

Clinical Application of Transvaginal Ultrasound in Diagnosis of Ectopic Pregnancy

Kungang Hospital，Kunming 650302，China

Received:2010-11-18 Online:2011-08-15 Published:2011-08-15

摘要/Abstract

摘要：

目的：探讨经阴道超声诊断宫外孕的临床价值。方法：采用PHILIPS 实时超声诊断仪，对我院经腹部壁声（TAS）和阴道
超声（TVS）检查的108 例术前宫外孕患者进行回顾性分析。结果：TVS 诊断异位妊娠76 例，其中完整胎囊型18 例，混合包块型51 例，实性包块7 例；32 例异位妊娠经TAS 诊断仅12 例为异位妊娠。108 例术后病理证实，输卵管妊娠103 例（占95%），卵巢妊娠1 例（占0.92%），宫角妊娠2 例（占1.85%），TVS 误诊2 例（占2.6%）。TVS 诊断符合率为96.3%，TAS 诊断符合率为25%。结论：TVS 诊断异位妊娠操作方便，诊断符合率高，对早期未破裂的输卵管妊娠具有重要诊断意义。

关键词: 妊娠, 异位, 阴道超声

Abstract:

Objective：To explore the clinical effective of Transvaginal ultrasound in diagnosis of ectopic pregnancy. Methods：One
hundred and eight cases of ectopic pregnancy received ultrasound examination before surgery in our hospital were conducted a retrospectively analysis. Results：There were 76 cases of ectopic pregnancy diagnosed according to transvaginal ultrasound（TVS） diagnosis，in which 18 cases were complete gestational sac type，51 cases were mixed type mass，7 cases were solid mass. Whereas，there were 12 cases in 32 cases diagnosed as ectopic pregnancy with abdominal ultrasound （TAS）. Pathological diagnosis confirmed that there were 103 cases（95%）of tubal pregnancy，1 case of（0.92%）ovarian pregnancy，2 cases（1.85%）of cornual pregnancy. The diagnose accordance rate of TVS was 96.3% and 25% of TAS. Conclusion：With the easy operation and the high rate
of diagnosis，TVS is valuable in diagnosis of ectopic pregnancy，especially the early unruptured tubal pregnancy.

Key words: pregnancy, ectopic, Transvaginal ultrasound

中图分类号:

R714.22

温美艳. 经阴道超声诊断宫外孕的临床应用体会[J]. J4, 2011, 10(8): 71-72.

WEN Mei-Yan. Clinical Application of Transvaginal Ultrasound in Diagnosis of Ectopic Pregnancy[J]. J4, 2011, 10(8): 71-72.

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