经阴道超声合并推挤法对卵巢与输卵管妊娠的鉴别  

Differential diagnosis of transvaginal ultrasound for to ovarian pregnancy and tubal pregnancy

作　　者：廖平川[1] 郑秀萍[1] 裴劲松[1] 宋长伟[1] 郝艳红[2] 刘海河[1] 

机构地区：[1]山西医科大学第一医院急诊科 [2]山西医科大学第一医院信息科

出　　处：《中华临床医师杂志（电子版）》2011年第7期1887-1890,共4页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的探讨卵巢妊娠与输卵管妊娠的超声声像图特点与鉴别。方法在经阴道超声检测下,于附件区显示妊娠囊样结构或类圆形不均质囊实性包块时,用推挤法以判定和鉴别为卵巢妊娠还是输卵管妊娠。结果本组共计390例均为住院择期手术患者,其中超声诊断为卵巢妊娠5例,手术符合率为92.5%,超声诊断输卵管妊娠287例,手术符合率为90.6%。结论本文从超声检查角度在卵巢妊娠与输卵管妊娠的鉴别方面,总结出一行之有效的方法,经实际应用证实,该方法确有其明确的实用价值。Objective To investigate ultrasonographic image characteristics and differential diagnosis about ovarian pregnancy and tubal pregnancy.Methods The 'pushing method' is helpful identifing either ovarian pregnancy or tubal pregnancy,when the shape of gestation sac near ovaries is discovered by the transvaginal ultrasonography detection.Results 390 cases are confirmed by elective surgery.Among the total of all,5 cases are ovarian pregnancy by ultrasonography,the coincidence rate is 92.5% between ultrasonography and operation.And 287 cases are tubal pregnancy,the coincidence rate is 90.6%.Conclusions This article concludes an effective method in differential diagnosis between ovarian pregnancy and tubal pregnancy in ultrasonography directions.The availability of the method is verified by application.

关 键 词：妊娠 异位 妊娠 输卵管 超声检查 

分 类 号：R714.22[医药卫生—妇产科学]