经阴道超声、电视腹腔镜诊断早期异位妊娠

Transvaginal Ultrasound and TV Laporoscopic Diagnosis of Ectopic Pregnancy

目的 探讨经阴道超声及电视腹腔镜对早期异位妊娠的诊断价值。方法 临床怀疑异位妊娠者共 10 4例 ,经阴道超声检查并在当天或次日行电视腹腔镜检查。结果 经阴道超声检查符合率 91.3 % ,假阳性 3例 ,假阴性 1例 ,定位错误5例。电视腹腔镜下诊断异位妊娠 10 1例 ,绝大多数同时行保守性或根治性手术。结论 经阴道超声是早期诊断异位妊娠最有价值的方法 ,电视腹腔镜可在其基础上准确定位、明确诊断 ,并能同时施行手术。

Objective To explore the values of transvaginal ultrasound and TV laporoscopy in diagnosis of ectopic pregnancy. Methods One hundred and four patients were examined by transvaginal ultrasound and TV laporoscopy, then most of them treated with TV laporoscopic procedures. Results The rate of accurate diagnosis with transvaginal ultrasound was 91.3% . One hundred and one patients of ectopic pregnancy were diagnosed and treated by TV laporoscopy. Conclusion Ectopic pregnancy can be diagnosed effectively with transvaginal ultrasound, and be located accurately and treated effectively by TV laporoscopy.