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目的通过对异位妊娠超声图像的特征分析,以提高异位妊娠诊断及其鉴别诊断水平。方法67例住院患者,年龄18～41岁,具有异位妊娠典型的临床症状。在膀胱充盈下,常规探测子宫、附件和盆腔,观察子宫形态、大小、附件包块以及盆腔积液情况。结果67例超声诊断异位妊娠患者经手术病理证实60例,诊断符合率为89.6%,其中,未破裂型13例,破裂型22例,不完全流产型17例,陈旧型8例。误诊7例,误诊率为10.4%。结论异位妊娠的超声表现具有特征性,B超是诊断异位妊娠的最理想方法,应做为首选。
Objective To improve the diagnosis and differential diagnosis of ectopic pregnancy by analyzing the characteristics of ectopic pregnancy ultrasound images. Methods 67 cases of hospitalized patients, aged 18 to 41 years, with typical clinical symptoms of ectopic pregnancy. In the filling of the bladder, the routine detection of the uterus, annexes and pelvis, observe the uterus shape, size, annex mass and pelvic fluid situation. Results Sixty-six patients with ectopic pregnancy diagnosed by ultrasound were confirmed by operation and pathology. The diagnostic coincidence rate was 89.6%. Among them, 13 cases were unruptured, 22 cases were ruptured, 17 cases were incomplete abortion and 8 cases were old. Misdiagnosis in 7 cases, misdiagnosis rate was 10.4%. Conclusion The echographic features of ectopic pregnancy are characteristic. Ultrasonography is the best method to diagnose ectopic pregnancy and should be the first choice.