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目的探讨卵巢妊娠与输卵管妊娠的超声声像图特点与鉴别。方法在经阴道超声检测下,于附件区显示妊娠囊样结构或类圆形不均质囊实性包块时,用推挤法以判定和鉴别为卵巢妊娠还是输卵管妊娠。结果本组共计390例均为住院择期手术患者,其中超声诊断为卵巢妊娠5例,手术符合率为92.5%,超声诊断输卵管妊娠287例,手术符合率为90.6%。结论本文从超声检查角度在卵巢妊娠与输卵管妊娠的鉴别方面,总结出一行之有效的方法,经实际应用证实,该方法确有其明确的实用价值。
Objective To investigate the characteristics and differential diagnosis of ovarian pregnancy and tubal pregnancy by ultrasonography. Methods In the transvaginal ultrasound examination, in the attachment zone shows gestational sac-like structure or round heterogeneous cystic mass, the use of push method to determine and identify as ovarian or tubal pregnancy. Results A total of 390 patients were hospitalized for elective surgery. Among them, 5 cases of ovarian pregnancy were diagnosed by ultrasound and the coincidence rate was 92.5%. Ultrasound diagnosis of tubal pregnancy was performed in 287 cases. The coincidence rate was 90.6%. Conclusion This paper summarizes an effective method from the perspective of ultrasound in the identification of ovarian pregnancy and tubal pregnancy. The practical application shows that this method does have its definite practical value.