宫外孕几种常见声像图的鉴别  

Differential Diagnosis of Some Common Ectopic Pregnancy Ultrasound Images

作　　者：张英[1] 梁健儿[1] 

机构地区：[1]江门市中心医院超声科,广东省529071

出　　处：《中国超声诊断杂志》2006年第10期752-754,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的探讨宫外孕的声图像特征,总结几种常见声像图的鉴别,以提高其诊断水平。方法对286例临床疑诊宫外孕的患者,采用经阴道二维及彩色多普勒超声检查,将超声结果与临床病理及随访资料进行对比分析。结果超声诊断宫外孕196例,经手术或保守治疗后确诊187例,假阳性4.8%,假阴性1.1%,诊断准确率为94.1%。图像不典型需进行鉴别诊断的占44.8%。结论宫外孕仍有一定的规则可循,通过二维及彩色多普勒超声图像分析,可对绝大部分宫外孕进行准确诊断。Objective The purpose of this paper was to investigate the ultrasonic features of ectopic pregnancy （EP） and to summarize the differential diagnosis （DD） of some common kinds of ultrasonic image （UI） in order to improve ultrasound diagnosis. Methods A total of 286 cases suspected as EP underwent transvaginal two-dimensional and color Doppler ultrasonography. The ultrasonic findings and the clinical pathology were analyzed and compared. Results The 196 cases were diagnosed to be EP on ultrasonography and 187 cases were confirmed by clinical. The false positive and false negative rates were 4.8% and 1.1%, respectively. The diagnostic accuracy rate was 94. 1%.44.8% of the atypical UI needed to be differentiated including false gestational sac, ring-like and substantial adnexal masses. Conclusions The features of UI in EP were complex and changable, but had some regularity. Analysis and comparison of these mages may make accurate diagnosis in majority of Ep in clinical.

关 键 词：宫外孕 超声图像 鉴别诊断 

分 类 号：R714.22[医药卫生—妇产科学]