B超鉴别未破损期异位妊娠与宫内早孕合并附件包块

Differential diagnosis between ectopic pregnancy of unrupture and pregnancy with appendix mass by ultrasonography

目的：为了探讨未破损期异位妊娠与宫内早孕合并附件包块（Ｂ超宫内、宫外均未探及明显胚芽及胎心搏动）的Ｂ超鉴别诊断。方法：对５３例未破损期异位妊娠与５９例宫内早孕合并附件包块，患者的Ｂ超特征进行回顾性比较研究。结果：两组间子宫增大出现率、宫内膜厚度及子宫直肠窝液暗出现率间差异有显著性（Ｐ＜００１），而两组间宫外包块直径的差异无统计学意义（Ｐ＞００５）。结论：Ｂ超探查宫内膜厚度、宫内回声情况、子宫增大情况。

Objective:The differential diagnosis between ectopic pregnancy of unrupture and pregnancy with appendix mass(embryo and pulsatile embryo heart have not been probed in and out uterus by Bultrasound)were explored by BultrasonographyMethods:Bultrasound traits with 53 cases of ectopic pregnancy of unrupture and 59 cases of pregnancy with appendix mass were analysed retrospectivelyResults:There were significant differences(P<001)in the rate of enlarged uterus,the thichness of endometrium and the rate of liquid dark region in rectouterine pouch,but no significant differences(P>005)in the size of appendix mass between the two groupsConclusion:The thickness of endometrium,the condition of enlarged uterus and appendix mass,the occurring rate and trait of liquid dark region in rectouterine pouch should be monitored regularly by Bultrasound,and it provids with distinctive feature