摘要
目的:探讨经腹部超声和经阴道超声对宫外孕诊断的价值,以及联合应用提高宫外孕的诊断符合率的方法。方法:对比观察156例经腹超声及经阴道超声诊断宫外孕的二维图像、患者血流分布情况。结果:经阴道超声能较经腹部超声提前一周左右发现孕囊;包块回声的改变随异位妊娠时间长短及性质不同,表现为不同的回声,但经腹超声与经阴道超声差别不大,仅表现为经阴道超声清晰度更高,彩色血流信号更敏感;包块的检出率受包块的大小影响,经阴道超声能检测出较小的宫外孕包块。结论:经阴道超声较经腹超声在诊断宫外孕包块方面准确率、敏感度明显提高,但扫查范围较小,对于较大包块及腹腔积液没有经腹超声更直观、全面,因此应联合应用。对于部分不能经超声完全诊断的病例,还应结合病史资料和临床实验室检查综合评价,全方位考虑,提高宫外孕的诊断准确率。
Objective：To investigate the diagnostic value of ectopic pregnancy by transabdominal and transvaginal ultrasound,and to improve the diagnosis of ectopic pregnancy by combined application.Methods：156 cases of ectopic pregnancy patients,Comparative observation of two-dimensional images,blood flow distribution of transabdominal transvaginal ultrasound.Results ：The transvaqinal ultrasound can discover the gestational sac about one week earlier than abdominal ultrasound;The mass echo change for the performance of the different echo,with ectopic pregnancy time length and properties of different.But transabdominal ultrasound and transvaginal ultrasound difference,only for the performance of image more clear,color flow signal is more sensitive to transvaginal ultrasound;Block size affect the mass detection rate.The transvaginal ultrasound can detect smaller ectopic pregnancy mass.Conclusion ：By the transvaginal ultrasound compared with transabdominal ultrasound.the accuracy rate,sensitivity increased significantly,but the scanning range is small,In the ectopic pregnancy mass diagnosis.For the larger mass and ascites,transabdominal ultrasound is more intuitive and more comprehensive,so should be used in conjunction;Some patients cannot accurate diagnosis by ulteasound,should also be combined with medical history data and laboratory examination of compre hensive evaluation,consider the full range,improve the accuracy of diagnosis of ectopic pregnancy.
出处
《内蒙古中医药》
2013年第26期71-72,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
超声
诊断
宫外孕
Ulteasound Ectopic pregnancy Diagnosis
