经阴道彩超诊断输卵管妊娠182例的回顾分析

Transvaginal Color Ultrasonic in Diagnosis of Tubal Pregnancy:Retrospective analysis of 182 cases

目的探讨阴道彩超在诊断输卵管妊娠中的价值。方法回顾性分析江阴市人民医院收治术前行阴道彩超检查并经手术病理证实的输卵管妊娠182例。结果182例均探及盆腔包块,探及积液者151例(82.9%),包块周边及内部探及丰富血流25例(13.7%),探及较少血流89例(48.9%)。超声诊断提示输卵管妊娠175例(96.2%),误诊7例(3.8%)。结论由于阴道彩超对于盆腔积液、盆腔包块的检出极为敏感,再辅以彩色血流显示(CDFI),阴道彩超在输卵管妊娠的诊断中作为可靠的首选方法有着极其重要的临床价值。

[ Objective] To explore the value of transvaginal color ultrasonic in diagnosis of tubal pregnancy. [ Methods] 182 cases of tubal pregnancy confirmed by Preoperative transvaginal color ultrasonic and operation and pathology were analyzed retrospectively. [ Results] All 182 patients had pelvic mass, 151（82.9% ） had pelvic effusion, 25 （13.7%） had mass peripheral and internal rich blood supply. 89（48.9% ） had less blood supply. 175 （96.2%） were diagnosed tubal pregnancy by ultrasonic. 7 （3.8%） were misdiagnosed. [ Conclusion] For the sensitivity of transvaginal color ultrasonic to the detection of pelvic fluid and pelvic mass, supplemented by CDFI, transvaginal color ultrasonic has extremely important clinical value as a reliable method of first choice in diagnosis of tubal pregnancy.