经腹及经阴道超声检查在早期诊断输卵管妊娠中的应用价值

Diagnostic Value of Transabodominal and Transvaginal Sonography for Ectopic Pregnancy

目的 探讨经腹及经阴道超声检查在早期诊断输卵管妊娠中的应用价值。方法 回顾性分析 70例输卵管妊娠患者声像图特征。结果 使用经阴道超声诊断早期输卵管妊娠诊断符合率达 96 % ,而经腹超声诊断符合率仅为6 1%。结论 鉴别卵巢黄体与异位妊娠包块对早期诊断输卵管妊娠有重要意义 ,两者在位置、回声性质与血流影像方面存在差异。异位妊娠与卵巢黄体发生在同侧的机率为 78% ,因此观察重点可放在黄体一侧。尽管经阴道超声诊断早期输卵管妊娠敏感性大大高于经腹超声 ,但经腹超声在探查盆腔高位异位妊娠方面有着不可替代的作用。

Objective To evaluate the value of transabodominal and transvag inal sonogrphy in the diagnosis of early salpingocyesis. Methods The features of sonography in 70 cases of early salping ocyesis were retrospectively studied. Results The diagnostic coincident rate of ectopic pregnancy by the transvaginal ultrasound and transabdominal ultrasound was 96 % and 61 % resp ectively. The ipsilateral occurrence of early salpingian ectopic pregnancies and the corpus luteum was about 78 %. Conclusion Identifying the corpus luteum and ectopic pregnant m ass was important to the diagnosis of salpingocyesis. The emphases were put on t he one side of corpus luteum in the diagnosis of ectopic pregnancy. Although the sensitivity of transvaginal sonography in the diagnosis of early salpingocyesis is much higher than transabnominal sonography, transabodominal sonography is no t replaceable in the exploration of ectopic pregnancies with high location in pe lvis.