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目的研究经阴道彩色超声在宫外孕保守治疗中的应用。方法选择2015年12月-2016年12月医院收治的宫外孕患者58例,均采用保守治疗的方法,同时利用经阴道彩色超声检查的方法,动态监测患者保守治疗过程。对所有患者临床资料进行回顾性分析,统计保守治疗结果,分析盆腔积液、血流信号、包块类型、包块大小、血人绒毛膜促性腺激素(β-HCG)与治疗效果之间的关系,并总结经阴道彩色超声检查在宫外孕保守治疗中的应用价值。结果 58例患者保守治疗成功40例,成功率为68.97%,其余18例保守治疗失败后转为手术治疗。盆腔积液、血流信号、包块类型、包块大小、血β-HCG等指标,在保守治疗成功组与失败组间差异均具有统计学意义(P<0.05)。结论在宫外孕患者保守治疗中,采用经阴道彩色超声检查的方法,能够提高患者疗效评价结果,同时帮助确定治疗方案,提升治疗效果,具有重要的临床应用价值。
Objective To study the application of transvaginal color ultrasound in the conservative treatment of ectopic pregnancy. Methods Fifty-eight patients with ectopic pregnancy admitted to our hospital from December 2015 to December 2016 were enrolled in this study. All of them were treated conservatively. Transvaginal ultrasonography was used to monitor the conservative treatment progress. The clinical data of all patients were retrospectively analyzed. The results of conservative treatment were analyzed. The correlations between pelvic fluid effusion, blood flow signal, mass type, mass size, blood chorionic gonadotropin (β-HCG) and therapeutic effect were analyzed Relationship, and summarizes the transvaginal color ultrasound in the conservative treatment of ectopic pregnancy in the value. Results 58 cases of conservative treatment of 40 cases successfully, the success rate was 68.97%, the remaining 18 cases of conservative treatment failed to surgery. Pelvic effusion, blood flow signal, mass type, mass size, blood β-HCG and other indicators, the difference between the conservative treatment success group and failure group were statistically significant (P <0.05). Conclusions In the conservative treatment of ectopic pregnancy, transvaginal sonography can improve the evaluation results of patients and help to determine the treatment plan and improve the therapeutic effect, which has important clinical value.