超声二维显像在药物保守治疗输卵管妊娠中的应用  

Application of transvaginal sonography in conservative treating tubal pregnancy

作　　者：薛勤[1] 张炽敏[2] 邹大中[1] 许玉芳[1] 刘丽[1] 谭洁[1] 

机构地区：[1]东南大学附属江阴医院超声科,江苏江阴214400 [2]东南大学附属中大医院

出　　处：《中国妇幼保健》2010年第26期3819-3821,共3页Maternal and Child Health Care of China

基　　金：江阴市科技计划项目〔2008060〕

摘　　要：目的:探讨经阴道超声(TVS)二维显像在化学药物治疗输卵管妊娠(TP)中的价值。方法:分析59例化学药物保守治疗TP病例包块二维显像(大小及回声类型)的动态变化。结果:59例保守治疗成功率89.83%(53/59)。成功组病例治疗后7天TP包块最大径线均值较治疗前1天大(P<0.05)。成功组病例治疗后TP包块内暗区张力变低,失败组病例包块内部暗区变大、张力变高或呈破裂型图像。结论:TP经化学药物保守治疗后包块暂时变大并不能视为保守治疗失败;TP包块回声类型较包块大小评价TP药物保守治疗疗效更有价值。Objective：To evaluate the value of transvaginal sonograplhic（TVS） in conservative treating tubal pregnancy（TP）.Methods：59 cases of TP were retrospected by TVS,including the size and internal echo of TP mass before and after medical treatment.Results：53 cases were treated successfully,the success rate was 89.83% （53/59）.In the success group,TP mass was identified on TVS with a mean size of （2.08±0.65）cm.Following the first week of medical treatment,the size significantly increased to（2.36±0.90）cm（P〈0.05） and the liquid dark area in the TP mass was smaller; while in the failure group,the liquid dark area was larger than before or TP mass ruptured after medical treatment.Conclusion：An initial increase in the size of the TP mass during medical treatment should not be considered as a higher risk for failure; The internal echo is better than the size of TP mass in assessing the medical treatment results.

关 键 词：输卵管妊娠 超声 保守治疗 

分 类 号：R714.22[医药卫生—妇产科学]