经阴道超声诊断宫外孕的价值分析

The value analysis of transvaginal ultrasound in diagnosis of ectopic pregnancy

目的:研究经阴道超声诊断宫外孕的价值。方法:选取2015年1月1日—2016年12月31日经阴道超声诊断宫外孕并经手术证实的异位妊娠83例,经阴道超声对患者进行检查,分析其超声成像特点。结果:83例宫外孕患者宫外孕的位置为:输卵管壶腹部妊娠60例(72.29%)、输卵管峡部妊娠9例(10.84%),输卵管间质部妊娠6例(7.23%)、输卵管伞部妊娠5例(6.02%)、卵巢妊娠3例(3.61%)。83例宫外孕附件区包块超声分型:未破裂型51例(61.45%),破裂型25例(30.12%),流产型7例(8.43%)。结论:经阴道超声诊断宫外孕具有其优势,但不同类型的宫外孕超声表现不同。

Objective To study the value of transvaginal ultrasound in diagnosing of ectopic pregnancy. Methods Selected83 cases of ectopic pregnancy which diagnosed by transvaginal ultrasound and confirmed by surgery. All patients were examined by ultrasonic diagnostic instrument, then analyzed the ultrasonic imaging characteristics. Results The location of ectopic pregnancy in 83 cases: 60 cases(72.29%) of ampullary pregnancy, 9 cases(10.84%) of isthmus pregnancy,6 cases(7.23%) of interstitial pregnancy, 5 cases(6.02%) of umbrella pregnancy and 3 cases(3.61%)of ovarian pregnancy.Ultrasonographic classification of 83 cases of ectopic pregnancy adnexal mass: 51 cases(61.45%) of unruptured type, 25 cases(30.12%) 0 f rupture type, 7 cases(8.43%) of abortion type. Conclusion Transvaginal ultrasound has its advantages in the diagnosis of ectopic pregnancy, but different types of ectopic pregnancy have different ultrasonic manifestations.