252例异位妊娠经阴道彩色多普勒超声定位诊断分析  

Analysis of Localization for 252Patients with Ectopic Pregnancy Using Transvaginal Ultrasonography

作　　者：薛勤[1] 邹大中[1] 张炽敏[2] 许玉芳[1] 刘丽[1] 潘东英[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超声科,江苏南京210009

出　　处：《中国医学影像学杂志》2010年第6期565-568,共4页Chinese Journal of Medical Imaging

摘　　要：目的:探讨经阴道彩色多普勒超声对异位妊娠的定位诊断价值。材料和方法:回顾分析经手术及病理证实异位妊娠252例的超声表现。结果:输卵管妊娠(壶腹部、峡部及伞部)235例,符合率99.57%;输卵管间质部妊娠8例,符合率62.50%;宫角妊娠3例,符合率66.67%;卵巢妊娠5例,符合率40%,腹腔妊娠1例误诊为输卵管妊娠。结论:经阴道彩色多普勒超声检查对输卵管妊娠定位诊断率高,对少见部位异位妊娠的定位诊断率较低。Purpose To evaluate the diagnostic value of transvaginal sonography（TVS）for localizing ectopic pregnancy（EP）.Materials and Methods The characteristics of TVS images were analyzed retrospectively in 252patients with EP confirmed by surgery and pathology.Results Of 252patients,235had tubal pregnancy,8had interstitial pregnancy,3developed pregnancy in the uterine corner,5had ovaran pregnancy,and 1showed abdominal pregnancy according to pathological results.The agreement rate of diagnosis for localizing ectopic pregnancy between TVS and pathology was 99.57%for tubal pregnancy,62.50%for interstitial pregnancy,66.67%for uterine corner pregnancy,and 40%for ovaran pregnancy,respectively.One patient with abdominal pregnancy in pathology was misdiagnosed as tubal pregnancy by TVS.Conclusions The TVS is an effective imaging modality for localization diagnosis of EP.

关 键 词：妊娠 异位 妊娠 输卵管 超声检查 多普勒 彩色 

分 类 号：R714.220.451[医药卫生—妇产科学]