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目的探讨经腹超声对异位妊娠的早期诊断价值。方法回顾总结荆门市石化医院2009-11-2011-06经术中病理证实的75例异位妊娠患者术前经腹超声诊断资料。结果 75例中经腹超声检查为异位妊娠者共48例,漏诊25例,误诊2例,与术中病理诊断符合率64.0%。48例患者经腹超声特点主要有患者附件区有混合性或低回声包块,有时可见妊娠囊及心芽搏动,包块周围呈环状血流信号,且为低阻力型。结论在异位妊娠的早期诊断中可将经腹超声、血尿HCG检测、经阴道超声及穹窿后穿刺等检查结合进行综合诊断。
Objective To investigate the value of transabdominal ultrasonography in the early diagnosis of ectopic pregnancy. Methods A retrospective review of 75 cases of ectopic pregnancy confirmed by histopathology in Jingmen Petrochemical Hospital was conducted before transabdominal sonography. Results 75 cases of ectopic pregnancy by transabdominal ultrasound were 48 cases, 25 cases missed diagnosis, misdiagnosis in 2 cases, consistent with the intraoperative pathological diagnosis rate of 64.0%. The characteristics of transabdominal ultrasound in 48 patients were mainly mixed or hypoechoic masses in the attachment area of the patient. Sometimes gestational sacs and cardiac beats were pulsatile, and circular blood flow signals were present around the mass and were of low resistance type. Conclusion In the early diagnosis of ectopic pregnancy can be transabdominal ultrasound, HCG detection of hematuria, transvaginal ultrasound and fornix puncture and other tests combined with a comprehensive diagnosis.