J4 ›› 2015, Vol. 14 ›› Issue (2): 51-53.

• 临床医学 • 上一篇    下一篇

宫外孕的超声诊断及临床表现分析

  

  1. 昆明市第三人民医院,昆明650041
  • 收稿日期:2014-10-14 出版日期:2015-02-15 发布日期:2015-02-15
  • 作者简介:庞兴美,副主任医师,主要从事超声诊断研究.

An Analysis of Ultrasound Diagnosis and Clinical Manifestation of Ectopic Pregnancy

  1. The 3rd People's Hospital of Kunming, Kunming 650041,China
  • Received:2014-10-14 Online:2015-02-15 Published:2015-02-15

摘要:

目的:分析宫外孕的超声诊断及临床表现,以期提高宫外孕的确诊率。方法:对125例超声诊断为宫外孕患者的超声诊
断及临床表现进行回顾性分析。结果:超声诊断的125例病例均经手术治疗,术后病理确诊122例,诊断符合率97.6%,误诊4
例,占3.2%;术后诊断:输卵管妊娠118例,占96.8%,宫角妊娠4例,占3.2%;破裂型5例,占4.0%;未破裂型67例,占54.9%;流产型50例,占40.9%。结论:超声是诊断宫外孕的首选检查方法,在诊断中声像图应密切结合病史、临床表现综合分析,才能减
少误、漏诊,提高超声对宫外孕的确诊率。

关键词: 宫外孕, 超声诊断, 临床表现, 分析

Abstract:

Objective: To improve the positive rate of ectopic pregnancy by analyzing the ultrasound diagnosis of ectopic pregnancy
and its clinical manifestation. Methods: A retrospective analysis of the ultrasound diagnosis and clinical manifestation of 125 cases of ectopic pregnancy diagnosed by ultrasound was made. Results: 125 ectopic pregnancy cases were treated by operations, among whom 122 cases were pathologically confirmed, with the diagnostic accordance rate of 97.6%, and 4 cases were misdiagnosed, accounting for 3.2%. Postoperative diagnosis results: 118 cases of tubal pregnancy, accounting for 96.8%, 4 cases of cornual pregnancy, 3.2%; 5 cases of rupture type, 4.0%; 67 cases of non-rupture type, 54.9%; 50 cases of abortion type, making up 40.9%. Conclusion: Ultrasound examination is the preferred method for diagnosis of ectopic pregnancy. In the process of diagnosis, ultrasonogram combined with a comprehensive analysis of medical history, signs and clinical manifestation is essential to reduce the misdiagnosis or missed diagnosis and to improve the positive rate of ultrasound diagnosis of ectopic pregnancy.

Key words: ectopic pregnancy, ultrasound diagnosis, clinical manifestation, analysis

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