彩色多普勒超声在输卵管妊娠保守治疗效果中的评价作用

Evaluation of conservative treatment results of tubal pregnancy by color Doppler sonography

目的:探讨彩色多普勒超声在输卵管妊娠保守治疗效果中的评价作用,从而为输卵管妊娠的临床治疗提供参考。方法:选取本院50例输卵管妊娠保守治疗患者进行彩色多普勒超声检查,测量输卵管妊娠包块大小、血流情况及其它合并的征象,结合临床病史和实验室检查,在治疗过程中采用超声观察包块转归情况,以此来评价保守治疗的效果。结果:50例输卵管妊娠患者中,保守治疗成功46例,包块最后均逐渐缩小直至消失,4例保守治疗失败后采取手术治疗。保守治疗成功组中包块最大4.8cm,最小1.0cm,平均2.8cm,有28例包块探及血流信号,12例见盆腔少量积液;失败组中包块最大4.5cm,最小3.1cm,平均3.5cm,有3例包块探及血流信号,2例盆腔少量积液合并髂窝三角积液。结论:彩色多普勒超声对输卵管妊娠保守治疗效果能进行客观有效的评价,为临床治疗提供了重要的参考。

Objective：To evaluate the conservative treatment results of tubal pregnancy by color Doppler sonography,thus can provide consultation for the clinical treatment of tubal pregnancy.Methods：Fifty cases of tubal pregnancy were examined by color Doppler sonography before and during conservative treatment,the size of tubal pregnancy mass,blood flow signal and the other symptom.All data were analysed and compared with therapeutic results.Results：Forty-six patients were treated successfully by conservative treatment,and four were failed.The average size of mass was 2.8 cm,maximum was 4.8 cm,minimum was 1.0 cm in success group,including twenty-eight scattered blood flow signal,twelve found a little pelvic cavity fluid.The average size of mass was 3.5 cm,maximum was 4.5 cm,minimum was 3.1 cm in failure group,including three scattered blood flow signal,two found a little pelvic cavity fluid and iliac fossa triangle fluid.Conclusion：Conservative treatment results of tubal pregnancy can be evaluated objectively by color Doppler sonography,which provide an important consultation for clinical treatment.