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目的探讨经阴道超声对诊断宫外孕的临床价值。方法回顾性分析60例宫外孕患者的临床诊断情况,其中未破裂型45例,流产及破裂型15例,术前均行经腹二维超声及经阴道超声对比检查,术后均经病理证实。结果与经腹超声比较,经阴道超声更易发现附件包块,包块边缘呈环状、半环状的彩色血流图,彩色脉冲多普勒测及附件包块内滋养动脉血流频谱呈低阻型,阻力指数(R I)为0.45±0.08。结论阴道超声检查对宫外孕的诊断,特别是早期检查具有重要意义。
Objective To investigate the clinical value of transvaginal ultrasound in the diagnosis of ectopic pregnancy. Methods A retrospective analysis of 60 cases of ectopic pregnancy in patients with clinical diagnosis, including unruptured 45 cases, 15 cases of abortion and rupture, preoperative abdominal transabdominal ultrasound and transvaginal ultrasound contrast examination, were confirmed by pathology. Results Compared with transabdominal sonography, transvaginal ultrasonography was more likely to find the appendages mass, and the edge of the mass was ring-shaped and semi-circular color blood flow diagram. The color doppler flow measurement and the nociceptive spectrum in the accessory mass Resistance type, resistance index (RI) was 0.45 ± 0.08. Conclusions Vaginal ultrasound is very important for the diagnosis of ectopic pregnancy, especially for early detection.