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本文报告临床拟诊为异位妊娠53例的超声诊断结果.所有病例均经手术验证。超声诊断异位妊娠的正确率为86.8%(46例),误诊7例。异位妊娠的典型声象表现为子宫略大于正常,宫内无妊娠囊或宫内回声紊乱;出现假妊娠囊,宫外包块可有低、高和混合性回声三种表现,腹、盆腔内可有积液。异位妊娠的不同声象表现与妊娠囊的破裂与否以及破裂后距超声检查时间长短有关。作者认为在异位妊娠囊破裂前作出正确的超声诊断是可能的。对于临床表现不典型而声象图有类似异位妊娠表现的病例,尚须与附件炎症包块、过期流产和双角子宫妊娠相鉴别.
This article reports the diagnosis of clinical diagnosis of ectopic pregnancy in 53 cases of ultrasound diagnosis of all cases were verified by surgery. The correct rate of ultrasound diagnosis of ectopic pregnancy was 86.8% (46 cases), misdiagnosed in 7 cases. Typical ectopic pregnancy performance of the uterus slightly larger than normal, no intrauterine gestational sac or intrauterine echogenic disorder; there pseudoepregnant capsule, extrauterine mass may have low, high and mixed echo three kinds of performance, abdominal, pelvic May have fluid. Different echogenic gestational ectopic pregnancy and gestational sac rupture or not, as well as the length of time after sonotracheal rupture. The authors believe that it is possible to make the right ultrasound diagnosis before the ectopic pregnancy capsule ruptures. For atypical clinical manifestations of sonogram has similar ectopic pregnancy cases, but also with the annex of inflammatory mass, late abortion and differentiated uterine pregnancy.