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随着高敏度妊娠诊断试剂的问世和经阴道超声检查的普及,使异位妊娠的早期诊断又提高了一步,而且存在孕卵未破裂前就有确诊的可能。治疗上亦从过去的输卵管切除术转向保守疗法。 诊断 步骤见附图。高敏度妊娠试验(50IU/L)阳性,临床症状可疑异位妊娠时应行经阴道超声检查。如作腹腔镜检查,则可确诊。 1.内诊检查:①附件及直肠子宫陷凹压痛;②子宫阴道部举痛。
With the advent of high-sensitivity pregnancy diagnostic reagents and the popularity of transvaginal ultrasound, so that the early diagnosis of ectopic pregnancy has increased one step, and there is no possibility of pregnancy before the diagnosis of rupture. The treatment also from the past salpingo-surgery to conservative treatment. Diagnostic steps see the attached drawings. High-sensitivity pregnancy test (50IU / L) positive clinical suspicious ectopic pregnancy should be transvaginal ultrasound. For laparoscopy, you can diagnose. 1. Internal examination: ① attachment and rectal uterine depression pain; ② vaginal pain in the uterus.