经阴道超声在早期输卵管妊娠诊治中的临床应用

Tranvaginal sonography in diagnosis and treatment of early tubal pregnancy

目的探讨经阴道超声在早期输卵管妊娠的诊断及保守治疗中的价值。方法对79例疑诊早期输卵管妊娠的患者采用经阴道超声检查,确诊后的患者给予MTX 0.4mg/kg×5天,一次肌肉注射,米非司酮50mg/次,口服,1天2次,连服6天进行保守治疗,并在保守治疗时行超声动态检测。结果 79例早期输卵管妊娠患者(妊娠囊型22例,混合性包块型57例),经阴道超声首诊检出率为100%;治疗成功59例,失败20例。结论经阴道超声是一种早期诊断输卵管妊娠及动态观察临床保守治疗效果的有效手段,值得临床推广应用。

Objective To explore the clinical value of transvaginal sonography （TVS） in diagnosis and conservativetreatment for early tubal pregnancy. Methods All patients suspected diagnosis of early tubal pregnancy were passingthrough the transvaginal ultrasound. After diagnosis, they were given MTX 0.4 rog/kg of × days, oneintramuscular injection, 50 mg/mifepristone, oral, one day, and even served six days of conservative treatment, andultrasound in the conservative treatment of dynamic detection. Results There were 79 cases of early tubal pregnancy（gestational sac type in 22 cases, 57 cases of mixed mass type）. The first diagnosed by transvaginal ultrasound wasl00%. 59 cases successfully treated and 20 cases failed. Conclusion TVS is an effective means of an early diagnosisof tubal pregnancy and dynamic observation of the clinical outcome of conservative treatment.