经阴道超声检查诊断早期异位妊娠的临床价值探讨  

Clinical Values of Trans-Vaginal Ultrasound in the Diagnosis of Early Ectopic Pregnancy

作　　者：王晔[1] 袁韵 龚儒杰[1] Wang Ye;Yuan Yun;Gong Rujie(Yijishan Hospital of Wannan Medical College, Wuhu, Anhui 241001, China)

机构地区：[1]皖南医学院附属弋矶山医院

出　　处：《大理大学学报》2019年第8期70-72,共3页Journal of Dali University

基　　金：皖南医学院重点科研项目培育基金资助项目(WK2017ZF01)

摘　　要：目的:探讨经阴道超声检查在早期异位妊娠诊断中的应用价值。方法:选择2017年1月至2017年12月在皖南医学院附属弋矶山医院行阴道超声检查怀疑异位妊娠且行手术的患者120例进行回顾性分析,以手术后病理检查为金标准来评判经阴道超声检查诊断异位妊娠的符合率。结果:120例患者经阴道超声检查诊断异位妊娠中,88例诊断为宫外孕(其中壶腹部55例,峡部32例,间质部1例),12例诊断为宫角妊娠,20例诊断为瘢痕妊娠,与手术病理做比较,经阴道超声检查早期异位妊娠的符合率为95.8%。结论:经阴道超声检查在异位妊娠诊断中具有很好的临床诊断价值。Objective:To explore the value of trans-vaginal ultrasonography in the diagnosis of early ectopic pregnancy. Methods:120 patients with suspected ectopic pregnancy and having undergone operations in Yijishan Hospital of Wannan Medical College from January to December 2017 were analyzed retrospectively, and the coincidence rate of ectopic pregnancy diagnosed by trans-vaginal ultrasound was judged by the pathological examination as gold standard after operation. Results:Among the 120 cases of ectopic pregnancy were diagnosed by trans-vaginal ultrasound, 88 cases were diagnosed as extrauterine pregnancy(55 cases of ampulla, 32 cases of isthmus, and 1 case of interstitial part), 12 cases as uterine horn pregnancy and 20 cases as cesarean scar pregnancy. Compared with surgical pathology, the coincidence rate of trans- vaginal ultrasound examination was 95.8%. Conclusion:Trans-vaginal ultrasound has a good clinical value in the diagnosis of ectopic pregnancy.

关 键 词：经阴道超声 异位妊娠 宫外孕 宫角妊娠 瘢痕妊娠 

分 类 号：R445.1[医药卫生—影像医学与核医学]