经阴道彩色多普勒超声在早期未破裂型输卵管妊娠诊断及保守治疗评价中的应用价值

The Role of Transvaginal Color Doppler Sonography in Diagnosis and Assessing Conservative Treatment of Early Unruptrued Tubal Pregnancy

目的探讨经阴道彩色多普勒超声检查在早期未破裂型输卵管妊娠(TP)诊断及保守治疗评价中的应用价值。方法回顾性分析50例接受药物保守治疗的早期未破裂型输卵管妊娠患者的临床及超声影像资料。结果50例患者经阴道彩色多普勒超声检查均见"输卵管环征"包块,彩色多普勒血流显像(CDFI)显示包块周围和(或)内部有丰富的彩色血流信号成彩环状,可记录到类滋养层周围血流动脉频谱,阻力指数(RI):0.46±0.12。50例患者中44例保守治疗成功,6例失败,成功率88%。B超检查示包块完全吸收平均时间(36±12)d。结论经阴道彩色多普勒超声在早期未破裂型输卵管妊娠诊断及保守治疗评价中有重要的应用价值。

Objective To evaluate the value of transvaginal color Doppler sonography in diagnosis and assessing conservative treatment of early unruptured tubal pregnancy（TP）.Methods The clinical and ultrasonic date of 50 cases of TP who accepted conservative treatment was analyzed retrospectively.Results TP mass was showed in all patients transvaginal color doppler（TVCD）.sonography Color doppler flow imaging（CDFI）.The TP mass had abundant blood flow which like a ring signal,it could record the class Peritrophoblastic artery flow spectrum,RI：0.46±0.12.Forty-four cases were treated successfully,and 6 failed.The success rate was 88%.The mean time to resolution of TP masses was（36±12）days.Conclusion TVCD sonography plays an important role in diagnosing and assessing conservative treatment of early unruptured tubal pregnancy.