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目的:回顾性分析经阴道B超诊断为异位妊娠的200例病例,总结检查的方法及经验。方法:选取2011年1月1日至2014年12月31日期间在我院产科确诊为异位妊娠的患者200例为研究对象,所有患者均接受经阴道B超检查。结果:经阴道B超检查初次即诊断为异位妊娠者178例(89%);经二次或三次阴道B超检查后诊断为异位妊娠者22例,手术中证实200名患者均为异位妊娠患者,术前经阴道B超诊断为异位妊娠的准确率为100%。术前诊断为输卵管妊娠者188例,手术证实为输卵管妊娠者192例,准确率97.9%;其余8例经手术证实为子宫角处异位妊娠。结论:采用阴道B超诊断异位妊娠具有较高的准确性和可靠性,可以普遍应用于临床。
Objective: To retrospectively analyze 200 cases of transvaginal ultrasound diagnosis of ectopic pregnancy, summarize the methods and experience of examination. METHODS: A total of 200 patients with obstetric diagnosis of obstetric gynecology in our hospital from January 1, 2011 to December 31, 2014 were enrolled in this study. All patients received transvaginal ultrasonography. Results: 178 cases (89%) were initially diagnosed as ectopic pregnancy by transvaginal ultrasonography; 22 cases were diagnosed as ectopic pregnancy by second or third vaginal ultrasound and 200 cases were confirmed by surgery Pregnant patients, preoperative transvaginal B-ultrasound diagnosis of ectopic pregnancy was 100% accuracy. Preoperative diagnosis of tubal pregnancy in 188 cases, 192 cases of tubal pregnancy confirmed surgery, the accuracy rate of 97.9%; the remaining 8 cases were confirmed by surgery for uterine horn ectopic pregnancy. Conclusion: The diagnosis of ectopic pregnancy by vaginal B-ultrasound has high accuracy and reliability and can be widely used in clinical practice.