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目的探讨宫外孕的彩色多普勒超声声像特点,指导临床采取不同治疗措施。方法对86例宫外孕患者的腹部超声声像表现进行分析,按照声像特点分为3种类型:完整孕囊型、破裂流产型及陈旧性包块型;治疗措施分为手术治疗和药物保守治疗。结果86例宫外孕患者中,完整孕囊型13例,破裂流产型55例,陈旧性包块型18例。手术治疗者63例,包括有胎心搏动的完整孕囊型4例、破裂流产型47例及陈旧性包块型12例;余23例采取保守治疗。结论彩色多普勒超声检查在宫外孕的定位诊断中起着重要的作用,临床医生可以根据不同的超声声像特点结合临床表现采取不同治疗措施,具有重要价值。
Objective To explore the echographic features of ectopic pregnancy by color Doppler ultrasonography and to guide clinical treatment. Methods Abdominal ultrasonography was performed in 86 patients with ectopic pregnancy, and classified into three types according to the characteristics of sonography: complete gestational sac type, ruptured abortion type and old mass type. The treatment was divided into surgical treatment and drug conservative treatment . Results Of the 86 patients with ectopic pregnancy, 13 were gestational sac syndrome, 55 were ruptured abortion, and 18 were obsolete mass. Surgical treatment of 63 patients, including fetal heart rate of a complete gestational sac in 4 cases, 47 cases of ruptured abortion and old mass in 12 cases; the remaining 23 cases to take conservative treatment. Conclusions Color Doppler ultrasound plays an important role in the diagnosis of ectopic pregnancy. Clinicians can take different therapeutic measures according to the different features of ultrasound imaging and clinical manifestations, which is of great value.