未破裂型输卵管妊娠与妊娠黄体的超声鉴别诊断

Differential Diagnosis of Tubal Pregnancy and Pregnancy Metoarion with Sonography

目的:分析异位妊娠孕囊与妊娠黄体的声像图表现,探讨超声对二者的鉴别诊断意义。方法:回顾性分析89例未破裂型输卵管妊娠与60例妊娠黄体的声像图特点及血流动力学参数。结果:89例输卵管妊娠中38例在输卵管可见妊娠囊及胚胎组织、原始心管搏动,46例未见原始心管搏动,5例误诊,诊断准确率为94.3%;60例妊娠黄体中壁薄型37例,壁厚型23例。输卵管妊娠与妊娠黄体在二维声像图、血供分布及血流动力学方面均存在显著性差异。结论:超声检查对早期输卵管妊娠与妊娠黄体具有鉴别诊断意义。

Objective:To evaluate the differential diagnostic value of sonography in tubal pregnancy and pregnancy metoarion.Methods:The acoustic images and the blood stream dynamics parameter of 89 patients with unruptured ectopic pregnancy and 60 patients with pregnancy metoarion were analyzed retrospectively.Results: Among the 98 cases,38 had obvious pregnancy pouch and the embryo organization,the primitive core barrel pulsation,46 had not primitive core barrel pulsation in the oviduct,5 were misdiagnosed.The rate of diagnostic accuracy were 94.3%.Among the 60 cases,37 pregnancy metoarion wall were thin and 23 were thick.The twodimensional acoustic image chart,the blood distribution and the blood stream dynamics had significant difference between the tubal pregnancy and pregnancy metoarion.Conclusion:Ultrasonography has important clinical value in differential diagnosis between tubal pregnancy and pregnancy metoarion.