摘要
目的探讨B超在诊断子宫外孕中的临床价值。方法对本院2002年3月￣2007年3月妇产科门诊(包括急诊)患者中有停经史,HCG阳性或弱阳性,不规则阴道出血的病例均行B超检查。结果经B超检查诊断为宫外孕的98例患者中,流产型8例,占8.2%,破裂型41例,占41.8%,未破裂型21例,占21.4%,陈旧型27例,占27.6%,均行手术治疗。B超诊断总符合率93.9%(92/98),误诊率为6.1%(6/98)。21例未破裂型宫外孕患者中,5例行腹腔镜下输卵管保守性手术治疗,此后均再孕并足月顺产。结论B超诊断宫外孕准确率高,方便,快捷,并可根据声像图表现不同给予初步病理分型,为临床采取相应的手术方式及治疗措施提供有效的诊断依据。
Objective To study the value of the ultrasound examination on ectopic pregnancy diagnosis. Methods 98 patients who had history of menstrual pause o HGG positive or weak positive,or anomalous vaginal bleeding were carried out ultrasound examination in our hospital from March 2002 to March 2007.Results In the 98 cases of ectopic pregnancy ,miscarriage was 8 cases, 8.2%;breach was 41 cases ,41.8%;unbroken 21 cases 21.4%;dated-27,27.6%.They were treated with surgery operation .The veracity of the ultrasound examination is 93.9%（92/98）,the inaccurate diagnosis is 6.1%（6/98）. In the 21 cases of unbroken ectopic pregnancy, 5 were treated on fallopian tube with celioscope. They were pregnant again and delivered smoothly. Conclusion Ultrasound examination is rather accu- rate for ectopic pregnancy diagnosis ,painless and wound-less. We can do pathologic classification according to different ultrasound pictures ,which helps us in treating the patients effectively.It may be a preferred method to ectopic pregnancy diagnosis.
关键词
B超
诊断
宫外孕
Ultrasound examination
Diagnosis
Ectopic pregnancy
