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目的探讨动态检测子宫内膜厚度判断妊娠部位,以避免宫内孕、宫外孕误诊误治的发生。方法回顾性分析2009—2012年52例患者临床资料,检测子宫内膜厚度变化,并统计宫内孕、宫外孕发生率。结果 52例患者中,宫内孕23例,占44.23%;宫外孕20例,占38.46%;流产(生化妊娠)9例,占17.31%。宫内孕子宫内膜厚度变化与时间延长成正比,异位妊娠子宫内膜厚度增加不显著或与时间延长成反比。超声探及宫内妊娠囊的时间最短4 d,最长9 d。超声诊断宫外孕的时间最短4 d,最长7 d。血β-HCG检测:宫内孕患者呈倍增,宫外孕患者增加缓慢或非倍增。20例宫外孕患者中,手术治疗14例,保守治疗6例。结论动态检测子宫内膜厚度可显著提高宫内孕、宫外孕的诊断率,减少和避免误诊误治的发生。
Objective To explore the dynamic detection of endometrial thickness to determine the location of pregnancy in order to avoid intrauterine pregnancy, misdiagnosis of misdiagnosis of ectopic pregnancy. Methods The clinical data of 52 patients from 2009 to 2012 were retrospectively analyzed. The changes of endometrial thickness were measured. The incidences of intrauterine pregnancy and ectopic pregnancy were also calculated. Results Of the 52 patients, 23 cases were intrauterine pregnancy, accounting for 44.23%; ectopic pregnancy was 20 cases, accounting for 38.46%; miscarriage (biochemical pregnancy) was 9 cases, accounting for 17.31%. Intrauterine pregnancy endometrial thickness changes in proportion with the extension of time, ectopic pregnancy increased endometrial thickness was not significantly increased or inversely proportional to time. Ultrasound exploration and intrauterine gestational sac shortest 4 d, up to 9 d. Echocardiography diagnosis of ectopic pregnancy the shortest 4 d, up to 7 d. Blood β-HCG test: patients with intrauterine pregnancy was doubled, ectopic pregnancy increased or slow non-doubling patients. Among 20 cases of ectopic pregnancy, 14 cases were treated by surgery and 6 cases were treated conservatively. Conclusions The dynamic detection of endometrial thickness can significantly improve the diagnostic rate of intrauterine pregnancy and ectopic pregnancy, and reduce and avoid the misdiagnosis and mistreatment.