超声异位妊娠早期超声诊断价值及超声表现分析

Ultrasound diagnosis and ultrasonographic analysis of early ultrasound ectopic pregnancy

目的探讨超声不同途径在早期异位妊娠(Ectopic Pregnancy,EP)诊断中的作用,并就其超声表现进行分析。方法选取2017年1月至2018年12月就诊的135例急腹症患者为观察对象。均实施经腹部超声检查(TAS)和经阴道检查(TVS)回顾性分析超声诊断价值,并就其超声表现展开探讨。结果TVS准确率为94.07%、TAS准确率为91.11%,两者联合检查检出率为97.78%,联合检测的准确率最高。经超声检查发现,82例妊娠物未破裂未流产,7例妊娠物未破裂但已流产、5例已破裂、2例残角子宫妊娠、1例子宫肌层妊娠、3例瘢痕妊娠、2例宫角妊娠。结论超声对于检出早期EP有一定的价值,但不同途径超声检查各有优势,必要时可采用经阴道和经腹部两种方式联合检查,以提高准确率。

Objective To investigate the role of different ultrasound routes in the diagnosis of early ectopic pregnancy(EP)and to analyze its ultrasound findings.Methods From January 2017 to December 2018,135 patients with acute abdomen were observed.The value of ultrasound diagnosis was retrospectively analyzed by transabdominal ultrasonography(TAS)and transvaginal examination(TVS),and the ultrasound findings were explored.Results The accuracy rate of TVS was 94.07%,and the accuracy rate of TAS was 91.11%.The detection rate of joint detection was 97.78%,and the accuracy of joint detection was the highest.Ultrasonography revealed that 82 cases of pregnancy did not rupture and not abortion,7 cases of pregnancy did not rupture but had abortion,5 cases had rupture,2 cases of residual uterine pregnancy,1 case of myometrial pregnancy,3 cases of scar pregnancy,2 cases Palace angle pregnancy.Conclusion Ultrasound has certain value for detecting early EP,but there are advantages in different ways of ultrasound examination.If necessary,combined examination by transvaginal and transabdominal can be used to improve the accuracy.