经阴道三维超声对早期输卵管妊娠的观察

Value of Transvaginal Three-dimensional Ultrasonography Combines with Three-dimensional Power Doppler Imaging for Diagnosis of Early Ectopic Pregnancy

目的探讨经阴道三维超声成像和三维能量多普勒在早期诊断输卵管妊娠的检测价值。方法应用经阴道三维超声成像和三维能量多普勒成像对80例异位妊娠患者的附件区包块进行三维超声成像和三维能量多普勒成像,并对其血流频谱进行对照分析。分析经阴道三维超声成像和三维能量多普勒技术对输卵管妊娠定性的可能性。结果经阴道三维超声诊断早期输卵管妊娠80例,经手术病理确诊79例,诊断符合率98.7%,79例早期输卵管妊娠中,75例检测到滋养层周围血流频谱。结论经阴道三维超声成像和三维能量多普勒成像是目前诊断早期输卵管妊娠最有价值的检测方法,其血流频谱特征和立体的“输卵管环”具有特殊诊断和鉴别诊断意义,尤其对异位妊娠的早期诊断具有特异性。

Objective To investigate the value of Transvaginal Three-dimensional ultrasonography combined with Three-dimensional Power Doppler Imaging for the diagnosis of early Ectopic Pregnancy. Methods Totally 96 patients suspected Ectopic Pregnancy were examined with Transvaginal Three-dimensional ultrasonography combined with Three-dimensional Power Doppler Imaging, and all cases were confirmed by operation and pathology. Results The ultrasonic results of 79 cases were accordant to pathology with the accurate diagnostic rate of 98.7%, and the flow around trophoblast of all cases were examined by Doppler. Conclusions Transvaginal Three-dimensional ultrasonography and Three-dimensional Power Doppler Imaging are one of the best valuable methods to test early Ectopic Pregnancy. The Doppler flow character and the ＂Oviduct Ring＂ are special and differential for early diagnosis.