经腹部结合阴道超声检查在异位妊娠诊断中的要点分析

Main points of transvaginal ultrasound combined with abdominal ultrasound in diagnosis of ectopic pregnancy

目的探讨经腹部与经阴道超声联合检查异位妊娠中的诊断要点。方法对76例临床确诊为异位妊娠患者的临床资料及超声声像图表现进行回顾性分析。结果 76例异位妊娠患者声像图主要表现为盆腔积液、宫旁团块、子宫稍增大及内膜蜕膜反应、输卵管积液、宫角或宫颈处妊囊等;依据病史、HCG检测和超声显像特征进行综合分析可大大降低漏诊、误诊的发生。结论正确掌握经腹部与经阴道超声联合检查各类型异位妊娠的诊断要点,结合临床资料,提高诊断准确率。

Objective To explore the main points of application of transvaginal ultrasound combined with abdominal ultrasound in the diagnosis of ectopic pregnancy. Methods The clinical data and ultrasonographic results of 76 cases of ectopic pregnancy patients were collected and analyzed retrospectively. Results The ultrasonographic results were mainly pelvic cavity accumulated with fluid, beside the palace briquette, slightly enlarged uterus, endometrial decidual reaction, oviduct fluid, palace angle or cervix pregnancy sac, etc. The analysis based on the medical history, HCG detection and ultrasonic imaging characteristics could significantly reduce the missed diagnosis and misdiagnosis. Conclusions The diagnostic accuracy is improved by considering such various factors as grasping the main points of application of abdominal ultrasound and transvaginal ultrasound with clinical data and HCA~ results.