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目的探讨彩超对宫外孕早期诊断与保守治疗跟踪监测的价值。方法应用彩超对临床怀疑宫外孕患者进行早期诊断,并根据超声显示附件区无包块,子宫腔内未见妊娠囊,诊断性刮宫病理未见绒毛结构,血HCG滴度升高,血色素正常等症状,采取保守治疗过程进行动态监测。结果宫外孕40例,保守治疗成功30例,失败10例,有5例因血HCG不降反而上升手术,3例因包块增大进行手术治疗,2例腹痛加剧和盆腔积液进行手术治疗。结论彩超对宫外孕早期做出诊断,为临床选择何种治疗方案提供有利的诊断依据,且对宫外孕保守治疗过程的动态监测具有重要临床意义。
Objective To explore the value of color Doppler ultrasonography in the follow-up monitoring of early diagnosis and conservative treatment of ectopic pregnancy. Methods The patients with suspected ectopic pregnancy were diagnosed by color Doppler ultrasonography. According to the results of ultrasonography, there was no mass in the attachment area. No gestational sac was found in the uterine cavity. There were no villi in the pathological diagnosis of curettage, and the serum HCG titer and hemoglobin were normal , To take a conservative treatment process for dynamic monitoring. Results Ectopic pregnancy in 40 cases, conservative treatment of 30 cases of success, 10 cases failed, 5 cases of blood HCG rise but not up but surgery, 3 cases due to mass surgery, 2 cases of abdominal pain and pelvic fluid surgery. Conclusion The diagnosis of ectopic pregnancy by color Doppler echocardiography early diagnosis provides a good basis for the clinical choice of treatment options and has important clinical significance for the dynamic monitoring of conservative treatment of ectopic pregnancy.