经阴道超声鉴别诊断宫内早孕与宫外孕临床分析

The Clinical Value of Transvaginal Ultrasound in Differential Diagnesis of Early Intrauterine Pregnancy and Ectopic Pregnancy

目的探讨经阴道超声在宫内早孕与宫外孕鉴别诊断中的价值。方法对127例停经32～50天，尿β-HCG阳性或弱阳性患者行阴道超声检查，观察其各项指标，并与最终临床诊断结果对照分析。结果经阴道超声诊断宫内早孕105例；宫外孕10例；宫内早孕流产7例；宫内早孕并黄体破裂1例；宫内外无妊娠4例。结论经阴道超声在宫内早孕与宫外孕的鉴别诊断中有重要的临床价值。

Objective To explore the value of transvaginal ultrasound（TVS） in the dif-ferential diagnesis between the early intrauterine pregnancy and the ectopic pregnanc-y. Methods 127 cases of menopause 32-50 days are examined with vaginal ultrasound ,whose β -HCG are positive or weakly positive. The test targets are observed and analytically compared with the final diagnosed. Results 127 cases, 105 cases were early intrauterine pregnancy, 10 cases were ectopic pregrancy, 7 cases were early intr-auterine miscarriage, 1 cases was intrauterine pregnancy complicated with luteal rupture, 4 cases were nonpregnant. Conclusion Transvaginal ultrasound has important clinical value for the diffierential diagnesis of early intrauterine pregnancy and ectopic pregnancy.