浅评后穹窿穿刺术对输卵管妊娠诊断的临床价值  

VALUE OF CULDOCENTESIS IN THE DIAGNOSIS OF ECTOPIC PREGNANCY

作　　者：程玉兰[1] 高眉扬[1] 

机构地区：[1]广州医学院第二附属医院妇产科

出　　处：《广东医学》1992年第6期308-309,共2页Guangdong Medical Journal

摘　　要：一般认为,后穹窿穿刺术对输卵管妊娠破裂型的诊断具有较高的诊断价值。但近年来,随着B超技术及腹腔镜的采用,血、尿β-HCGRIA测定灵敏度的提高,使输卵管妊娠未破裂型的诊断率有所上升;同时。The diagnostic value of culdocentesis was examined in 54 patients with a positive culdocentesis and 87 women admitted with tuble ectopic pregnancies during a two-year peroid (betweed October 1,1989 and September 30, 1991).Forty-six of the 54(85.2%) with a positive culdocentesis had an ectopic pregnancy and 8 had another diagnotesis.The specificity of a culdocentesis increased to 97.9% when it was used in conjunction with a serum HCG assay.The data also confirms that a nondiagnostic culdocentesis does not exclude the presence of hemoperitoneum or diagnosis of ectopic pregnancy. The use of culdocentesis should not be limited to patients with traditional signs of peritoneal irritation, as 30.4% of patients in this data with a positive culdocentesis and ectopic pregnancy were free of such findings.Under some circumstances, culdocentesis is an inexpensive, rapid, reliable easily performed means for diagnosis of ectopic pregnancy.

关 键 词：异位妊娠 后穹窿穿刺术 诊断 

分 类 号：R714.221[医药卫生—妇产科学]