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作 者:刘赛超 LIU Sai-chao(Department of Functional Medicine,Tianjin Ninghe District Hospital,Tianjin 301500,China)
出 处:《中国城乡企业卫生》2024年第8期27-29,共3页Chinese Journal of Urban and Rural Enterprise Hygiene
摘 要:异位妊娠为妇产科较为常见的急腹症,其具有发病急,病情进展快等特点,如果对患者没有及时采取有效的诊疗措施,患者病情则会加重,可能导致患者死亡。同时异位妊娠对于患者的生育能力具有严重影响,因此需要及时进行治疗。为了制订科学合理的异位妊娠治疗方案,首先需要对患者进行准确可靠的诊断。异位妊娠影响因素较多,仅通过临床询问以及症状观察难以对患者进行准确诊断。目前临床异位妊娠主要采用医学影像进行诊断,具体包括多种方式,不同诊断方法具有不同的优缺点以及适用条件。现阶段B超在异位妊娠诊断中应用最为广泛,具体包括腹部B超和阴道B超两种方式。相关研究显示,B超诊断具有较高的诊断准确性和灵敏度,同时具有操作简单、方便、无创等特点,患者接受度高。因此,近些年很多学者关于B超诊断异位妊娠开展了较为丰富的研究工作,特别是关于阴道B超诊断异位妊娠以及阴道B超联合腹部B超诊断异位妊娠取得了很多进展。本文对B超诊断异位妊娠研究进展进行综述,以期为临床异位妊娠诊断提供借鉴。Ectopic pregnancy is a common acute abdomen in obstetrics and gynecology,characterized by acute onset and rapid progression.If effective diagnosis and treatment measures are not taken in a timely manner,the patient's condition will worsen and may lead to death of patients.At the same time,ectopic pregnancy has a serious impact on the fertility of patients,so timely treatment is necessary.In order to develop a scientifically reasonable treatment plan for ectopic pregnancy,it is first necessary to make an accurate and reliable diagnosis of the patients.There are many factors that affect ectopic pregnancy,and it is difficult to accurately diagnose patients solely through clinical inquiry and symptom observation.At present,medical imaging is mainly used for the diagnosis of ectopic pregnancy in clinical practice,which includes various methods.Different diagnostic methods have different advantages,disadvantages,and applicable conditions.At present,B-ultrasound is most widely used in the diagnosis of ectopic pregnancy,including two methods:abdominal B-ultrasound and vaginal B-ultrasound.Related studies have shown that B-ultrasound diagnosis has high diagnostic accuracy and sensitivity,as well as the characteristics of simple operation,convenience,and non-invasive,with high patient acceptance.Therefore,in recent years,many scholars have conducted rich research on the diagnosis of ectopic pregnancy using Bultrasound,especially in the diagnosis of ectopic pregnancy using vaginal B-ultrasound and the combination of vaginal B-ultrasound and abdominal B-ultrasound,which have made many progress.This article reviews the research progress on B-ultrasound diagnosis of ectopic pregnancy,in order to provide reference for clinical diagnosis of ectopic pregnancy.
分 类 号:R445.1[医药卫生—影像医学与核医学]
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