经阴道彩色多普勒对未破裂型输卵管妊娠的临床应用价值  

Value of Transvaginal Color Doppler Sonography for Unruptured Tubal Pregnancy

作　　者：林小影[1] 朱才义[2] 郝洁[1] 吴嫦荃 李汝花 

机构地区：[1]海南省海口市妇幼保健院超声影像科,海南海口570102 [2]海口市人民医院

出　　处：《中国医学影像技术》2002年第8期821-823,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨经阴道彩色多普勒超声 (TVCD)对未破裂型输卵管妊娠的临床应用价值。方法　应用TVCD诊断未破裂型输卵管妊娠 72例 ,根据超声所见分为未破损型或早期流产型及流产型 ,并对手术所见及保守治疗中监测的结果进行分析。结果　手术组 2 3例 (包括保守治疗中转手术的 9例 ) ,超声诊断符合率 95 .7% (2 2 /2 3 ) ,术中见两型间局部活动性出血情况显著不同 ;保守组 5 8例 ,治疗成功率 84.5 % (4 9/5 8) ,其中未破损型或早期流产型及流产型治疗成功率分别为92 .9%及 62 .5 % ,两型间疗效亦显著不同。结论　TVCD能及早对未破裂型输卵管妊娠做出可靠准确的诊断 。Objective To assess the value of transvaginal color Doppler (TVCD) in the diagnosis of unruptured tubal pregnancy. Methods Seventy two cases of unruptured tubal pregnancy were diagnosed with TVCD,and classified into two groups,intact and early stage abortion tubal pregnancy,and abortion tubal pregnancy. Results Twenty two in 23 (95.7%) cases of surgical unruptured tubal pregnancy diagnosed with TVCD (9 of them had received conservative treatment before surgery) were validated. The cure rate of conservative treatment of 58 unruptured tubal pregnancies was 84.5% (49/58). In thses cases,cure rates of intact or early stage abortion tubal pregnancy and abortion tubal pregnancy were 92.9% and 62.5% respectively. Conclusion Transvaginal colour Doppler sonography is an useful tool in diagnostic and management procedures of unruptured tubal pregnancy.

关 键 词：输卵管妊娠 临床应用 经阴道彩色多普勒超声 未破裂型输卵管妊娠 TVCD 诊断 

分 类 号：R714.221[医药卫生—妇产科学] R445.1[医药卫生—临床医学]