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目的:分析阴道超声及腹部超声的图像,探讨应用阴道超声对早期异位妊娠的诊断价值。方法:取1995年~1997年150例腹部超声(TAS)诊断异位妊娠的病例及1998年~2000年阴道超声(TVS)诊断异位妊娠150例病人进行仔细观察宫内有无孕囊,宫外有无妊娠结构及子宫直肠窝积液情况及手术中出血情况等因素进行评估。结果:阴道超声因高频探头其分辨力比腹部探头强。图像清晰,检查途径在阴道,直接接触靶器官。真实、准确地反映了异位妊娠的图像,明显提高异位妊娠的诊断率、诊断准确率及保守治疗的成功率。结论:阴道超声是诊断早期异位妊娠的可靠办法,从根本上避免了宫外孕导致失血性休克等并发症,赢得了手术时间,为非手术治疗提供了机会。
OBJECTIVE: To analyze the images of vaginal ultrasound and abdominal ultrasound to explore the value of vaginal ultrasound in the diagnosis of early ectopic pregnancy. Methods: From 1995 to 1997, 150 cases of ectopic pregnancy diagnosed by abdominal ultrasonography (TAS) and 150 cases of ectopic pregnancy diagnosed by vaginal ultrasound (TVS) from 1998 to 2000 were carefully observed for the presence of gestational sac and uterus External pregnancy and uterine rectal fossa structure and the situation of bleeding and surgery and other factors to assess. Results: Vaginal ultrasound due to high-resolution probe its resolution than the abdominal probe. Image is clear, check the way in the vagina, direct contact with the target organ. Real and accurately reflect the image of ectopic pregnancy, significantly improve the diagnosis of ectopic pregnancy, diagnostic accuracy and conservative treatment success rate. Conclusion: Vaginal ultrasound is a reliable method to diagnose early ectopic pregnancy. It fundamentally avoids complications such as hemorrhagic shock caused by ectopic pregnancy, and has gained the operation time and provided the opportunity for nonsurgical treatment.