163例宫外孕超声诊断和分型  

163 Cases of Ectopic Pregnancy Diagnosed by Ultrasound and Their Classification

作　　者：刘思怡[1] 

机构地区：[1]广东省茂名市人民医院超声诊断科,广东茂名525000

出　　处：《河北医学》2008年第2期187-189,共3页Hebei Medicine

摘　　要：目的:探讨宫外孕的超声诊断和超声分型,指导临床选择治疗方式。方法:应用超声检查对163例宫外孕声像图进行分析。结果:超声确诊率96.3%(158/163例),超声分型:I型(未破型)67例;Ⅱ型(流产型)33例;Ⅲ型(破裂型)34例;Ⅳ(陈旧型)20例;Ⅴ型(宫颈型)2例;Ⅵ型(宫内宫外型)1例;Ⅶ型(腹腔型)1例。结论:超声检查是确诊宫外孕的主要首段,超声分型作为临床选择药物保守法、介入法、腹腔镜法、手术切除法等的重要指标。Objective： To study the ultrasonographic diagnosis and classification in ectopic pregnancy, so as to guide for the selection of way in clinical treatment. Method： The flow imaging of 163 cases of ectopic pregnancy was analyzed by applying the ultrasound. Result： Ultrasonoraphic accurate diagnosis rate was 96.3% （ 158 cases/163 cases ）. Ultrasonographic types： Ⅰ type （ unbroken type ） with 67 cases; Ⅱ type （ abortion type ） with 33 cases; Ⅲ type （ broken type ） with 34 cases; Ⅳ type （ old type ） with 20 cases; Ⅴ type （ cervix type ） with 2 cases ; Ⅵ type （ uterine or ectopic type ） with 1 case ; Ⅶ type （ abdominal type ） with 1 case. Conclusion： Ultrasonographic check is the main measure in the diagnosis of the ectopic pregnancy, and the ultrasonographic classification is the main index for the clinical drug selection methods, such as, conservative method, insertion method, abdominoscope method, and excision method.

关 键 词：宫外孕 超声诊断 超声分型 

分 类 号：R445.1[医药卫生—影像医学与核医学]