体外受精-胚胎移植术后经阴道彩色多普勒超声对早期异位妊娠诊断价值  

Diagnosis of early ectopic pregnancy by transvaginal color Doppler ultrasonography after in vitro fertilization and embryo transfer

作　　者：黄洪玉[1] 

机构地区：[1]云南省第一人民医院生殖遗传一科,昆明650032

出　　处：《中国生育健康杂志》2013年第2期101-103,共3页Chinese Journal of Reproductive Health

摘　　要：目的探讨在体外受精-胚胎移植（IVF—ET）后经阴道彩色多普勒超声对早期异位妊娠的诊断价值。方法回顾性分析由阴道彩色多普勒超声诊断的134例异位妊娠的超声声像图特征。结果134例中符合诊断131例，超声诊断准确率97．8％。其中输卵管妊娠82．8％，宫内宫外同时妊娠11．9％，间质部妊娠2．3％，误诊1．5％，漏诊1．5％。结论经阴道超声检查对IVF—ET后异位妊娠的诊断敏感性高，结合血3-HCG值的联合监测是早期诊断异位妊娠的关键。Objective To evaluate the diagnostic value of transvaginal color Doppler ultrasonography on early ec- topic pregnancy after in vitro fertilization and embryo transfer （IVF-ET）. Methods Retrospective analysis of uhrasono- graphic characteristics of 134 ectopic pregnancy was conducted. Results 131 cases out of 134 ectopic pregnancies were confirmed clinically, with a accuracy rate was 97.8 %. Of 134 patients, 111 had tubal pregnancy （82.8 % ）, 16 had het- erotopic pregnancy （ 11.9 % ）, and two cases were misdiagnosed. Conclusion Transvaginal ultrasonography is a sensi- tive diagnostic method for detecting ectopic pregnancy after in vitro fertilization and embryo transfer （IVF-ET）. Transvagi- nal ultrasonography combined with serum [3-HCG is the key to diagnose early ectopic pregnancy.

关 键 词：体外受精-胚胎移植 异位妊娠 彩色多普勒超声检查 早期 

分 类 号：R321-33[医药卫生—人体解剖和组织胚胎学]