经阴道超声诊断输卵管妊娠的临床价值与药物治疗的观察  

The value of transvaginal ultrasonography in the early diagnosis of salpingian pregnancy and it's serial observations on the appropriate drug effectiveness

作　　者：俞倩 费民毅 陈晓瑜 吴剑云 高中度 

机构地区：[1]上海同仁医院,200050

出　　处：《上海医学影像》2003年第3期176-178,共3页Shanghai Medical Imaging

摘　　要：目的 探讨经阴道超声检查,对输卵管妊娠早期诊断的检测价值,以及对药物治疗的分析。 方法 对60例早期输卵管妊娠患者进行阴道超声检查,对未破裂型输卵管妊娠给予静脉点滴MTX(氨甲喋啶)保守治疗,连续动态观察异位妊娠组织及混合性包块的形态,发展和转归。 结果 本文60例早期输卵管妊娠阴道超声检查的准确率100％。对于未破裂型及早期流产型早期输卵管妊娠,经血β-HCC确认后给药物保守治疗显效率81％,有效率12％,无效率7％。药物治疗成功34例,手术治疗26例。 结论 阴道超声检查是目前诊断输卵管妊娠较有价值的检测手段,对于指导临床采取有效治疗措施具重要意义。Objective To evaluate the value of transvaginal ultrasonography in the early diagnosis of salpingian pregnancy, and the assessment of drug effects through appropriate serial observations. Methods 60 cases of early salpingian pregnancies were examined by transviginal ultrasonography. For cases with unruptured salpigian pregnancies, MTX were administered as conservative treatment serial ultra-sonioc observations were performed as to the identification of the ectopic pregnant tissues, the morphology of the mixed masses, and their ultimate evolution. Results Of 60 cases of early salpigian pregnancies were examined by transviginal ultrasonography, the diagnostic accuracy rate was 100%. For those unruptured type of early salpingian pregnancies, as confirmed by β-HCG, the conservative treatment regimen revealed an outstanding effective rate of 81%, relative effective rate of 12%, and non-effective rate of 7%. Hence a total of 34 cases were treated successfully with drugs, and 26 cases were treated operatively. Conclusions Transvaginal ultrasonogrphy is valuable in the diagnosis of early salpingian pregnacy, as well as the serial observation of cases with conservative measures.

关 键 词：输卵管妊娠 阴道超声检查 药物治疗 观察 经阴道超声诊断 临床价值 早期流产 对药 包块 氨甲喋啶 

分 类 号：R714[医药卫生—妇产科学] R711[医药卫生—临床医学]