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目的对实时超声检查异位妊娠漏误诊情况进行分析。方法选择2010年1月—2013年12月收治的52例异位妊娠患者,使用迈瑞DC-6、DC-7彩色多普勒超声检查仪进行检查,经腹探头频率为3.5 MHz,经阴道探头频率4~8 MHz。结果子宫增大19例,宫内见假孕囊4例,宫腔节育环15例,1例宫内妊娠合并宫外妊娠,并见存活胚胎;混合性包块15例,妊娠囊型18例;盆腔少量积液32例中大量腹盆腔积液及凝血块6例;经腹漏诊率30.77%,经阴漏诊率7.69%;经腹误诊率3.85%,经阴误诊率1.92%。结论异位妊娠经阴道超声检出率明显高于经腹超声,同时配合经腹超声检查,并结合患者病史、临床症状以及血、尿HCG动态监测,可减少对本病的漏误诊。
Objective To analyze the misdiagnosis status of ectopic pregnancy by real-time ultrasonography. Methods 52 cases of ectopic pregnancy admitted from January 2010 to December 2013 were examined with Mindray DC-6 and DC-7 color Doppler sonography. The frequency of the transabdominal probe was 3.5 MHz. The transvaginal probe Frequency 4 ~ 8 MHz. Results 19 cases of uterine enlargement, intrauterine see pseudocyst 4 cases, 15 cases of intrauterine contraceptive ring, 1 case of intrauterine pregnancy with ectopic pregnancy, and see the survival of embryos; mixed mass in 15 cases, 18 cases of gestational sac ; A small amount of pelvic fluid in 32 cases of a large number of pelvic fluid and clot in 6 cases; the rate of 30.77% missed by the abdomen, missed diagnosis of bleeding by 7.69%; misdiagnosed rate of 3.85%, the rate of misdiagnosis 1.92%. Conclusion The detection rate of transvaginal ultrasound in ectopic pregnancy is significantly higher than that of transabdominal ultrasound combined with transabdominal ultrasonography. Combined with the history of patients, clinical symptoms and dynamic monitoring of blood and urine HCG, misdiagnosis of the disease can be reduced.