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目的:探讨超声检查对异位妊娠早期的辅助诊断及临床应用效果。方法:回顾性分析该院1990年3月～2000年12月收治的66例临床高度怀疑为异位妊娠患者,治疗前行超声辅助诊断的经过。结果:66例中及时确诊早期未破裂型20例(27.3%),早期流产型21例(37.9%),破裂型异位妊娠13例(19.7%),非输卵管部位异位妊娠2例,误诊10例(15.2%)。结论:不典型的异位妊娠,早期诊断有一定的困难,误诊率也较高。超声检查可作为异位妊娠的重要辅助诊断,特别是在附件区见有强回声的光环,围绕液性暗区,应当作异位妊娠早期超声诊断的阳性征,结合病史及其他辅助检查有助于确诊。66例经腹腔镜证实,56例为异位妊娠,准确率84.8%。
Objective: To investigate the ultrasound diagnosis of early diagnosis of ectopic pregnancy and clinical effects. Methods: A retrospective analysis of the hospital from March 1990 to December 2000 admitted to 66 cases of highly suspected patients with ectopic pregnancy, treatment of ultrasound-assisted diagnosis before. Results: In 66 cases, 20 cases (27.3%) were diagnosed as early unruptured cases, 21 cases (37.9%) as early abortion cases, 13 cases (19.7%) as ruptured ectopic pregnancy and 2 as ectopic pregnancy 10 cases (15.2%). Conclusion: Atypical ectopic pregnancy, early diagnosis has some difficulties, misdiagnosis rate is also high. Ultrasonography can be used as an important auxiliary diagnosis of ectopic pregnancy, especially in the attachment area to see a strong echo of the halo, around the liquid dark area, should be ectopic pregnancy early diagnostic ultrasound positive syndrome combined with history and other laboratory tests help In the diagnosis. 66 cases confirmed by laparoscopy, 56 cases of ectopic pregnancy, the accuracy rate of 84.8%.