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目的对异位妊娠经腹和经阴道超声图像特征进行分析,总结异位妊娠破裂的类型。方法对我院住院并经手术病理证实的78例异位妊娠患者的术前经腹和经阴道超声图像进行回顾性分析,根据其图像特征进行分类,并与术后结果进行对照研究。结果左、右侧输卵管异位妊娠的发生率差异无统计学意义;输卵管壶腹部妊娠发生率最高,占82.0%;声像图表现“导管环”型异位妊娠中未破裂占74.7%,非均质包块型异位妊娠中破裂者占70.8%。结论掌握异位妊娠发生部位特点及声像图特征,判断异位妊娠是否破裂及内出血程度,对指导临床治疗具有重要价值。
Objective To analyze the characteristics of transabdominal and transvaginal ultrasound images of ectopic pregnancy and summarize the types of ectopic pregnancy rupture. Methods 78 cases of ectopic pregnancy confirmed by surgery and pathology in our hospital were retrospectively analyzed by transabdominal and transvaginal ultrasonography. According to their image characteristics, the images were classified and compared with the postoperative results. Results The incidence of tubal ectopic pregnancy was not significantly different between the left and right sides. The incidence of tubal ampullary pregnancy was the highest, accounting for 82.0%. The sonographic findings showed that the unruptured tuberculous ectopic pregnancy accounted for 74.7% , Heterogeneous mass-type ectopic pregnancy rupture accounted for 70.8%. Conclusion To understand the characteristics of ectopic pregnancy and sonography features, to determine whether the ectopic pregnancy rupture and the degree of internal bleeding, to guide the clinical treatment of great value.