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目的提高异位妊娠早期诊断的符合率,减少破裂后给病人带来的痛苦。方法对156例异位妊娠患者经腹部及经阴道进行超声诊断。结果 156例异位妊娠患者中,首次诊断143例,其余13例复诊时确诊,超声诊断病例均经产科病理证实和经过保守治疗后,血清β-HCG下降证实。结论阴道彩色多普勒超声是提高早期诊断未破裂型异位妊娠的首选方法,通过与腹部联合应用,可补充信息,进一步提高诊断准确率。
Objective To improve the coincidence rate of early diagnosis of ectopic pregnancy and reduce the pain caused to patients after rupture. Methods 156 cases of ectopic pregnancy by abdominal and transvaginal ultrasonic diagnosis. Results Among the 156 cases of ectopic pregnancy, 143 cases were diagnosed for the first time and 13 cases were diagnosed at the time of referral. The diagnosis of ultrasound was confirmed by obstetric pathology and after conservative treatment, the decline of serum β-HCG was confirmed. Conclusion Vaginal color Doppler ultrasound is the first choice to improve the early diagnosis of unruptured ectopic pregnancy. Through the combined application with the abdomen, information can be added to further improve the diagnostic accuracy.