阴道超声检查结合绒毛膜促性腺激素测定早期诊断异位妊娠

Early Diagnosis of Ectopic Pregnancy by Combining Sonography and Blood HCG Test

本文对 30例疑为宫外孕者进行阴道超声检查。 1 4例见有宫外妊娠囊 ,其中 6例见胎心搏动。 1 1例发现输卵管或附件内均质或不均质的实性结构 ,5例见子宫直肠凹内有多少不等的液体。经检验血绒毛膜促性腺激素 β-亚单位 (B -HCG)确认妊娠。 8例经手术证实宫外妊娠。 2 2例保守治疗后 β -HCG转阴 ,诊断符合率 1 0 0 %。

Transvaginal ultrasonography was performed in 30cases suspected ectopic pregnancy. Ectopic gestational sacs were found in 14 cases, of them 6 cases with fetal heart bit; Homogeneous or inhomogeneous masses of uterine tubes were found in another 11 cases. Fluid echoes were detected in rectouterine fossa of the rest 5 cases, who were affirmed pregnancy by blood HCG test. 8 cases of ectopic pregnancies diagnosed by sonography were proved by operation. β-HCG values of the other 22 cases changed negative treated by conservative method. The accuracy of sonography diagnosis was 100%. Thus, it can be concluded that combination of sonography with blood HCG test could make early diagnosis of ectopic pregnancy.