本文报告B超诊断并经手术证实的陈旧性宫外孕22例。其目的是分析陈旧性宫外孕的声像图特征及鉴别诊断,并且探讨宫外孕的发生与宫内置节育器的关系。患者年龄在25～36岁,平均30岁,其中施行绝育手术者2例,上环者15例,均有腹痛及阴道不规则出血病史,18例有停经史、4例无明显停经史、20例尿妊娠试验阳性。使用仪器为东工SSH—140A型彩超,探头主频率3.75MHz,患者在膀胱适度充盈的条件下,于下腹部多切面扫查。 结果 22例中有20例子宫轻度增大,两侧子宫正常大小,宫腔内均无孕囊,两侧附件区或子宫后方有形态不规则的异常回声区,边界不清,多与周围组织粘连,尤其是与子宫关系密切,内部回声杂乱,强弱不等,为较强回声与不规则的液性暗区交错分布,呈混合性包块。CDFI示异常区内无明显的血流信 This article reports 22 cases of old ectopic pregnancy diagnosed by B-ultrasound and surgically confirmed. Its purpose is to analyze the echographic features and differential diagnosis of old ectopic pregnancy, and to explore the relationship between the occurrence of ectopic pregnancy and intrauterine device. The patients were 25 to 36 years old with an average of 30 years of age. Among them, 2 were sterilized and 15 were in Sheung Wan. All had abdominal pain and vaginal irregular bleeding history, 18 had menopause, and 4 had no history of menopause. Cases of urine pregnancy test positive. The instrument used for the East workers SSH-140A color Doppler ultrasound, the main probe frequency 3.75MHz, patients with moderate bladder filling conditions, multi-slice scan in the lower abdomen. Results In 22 cases, 20 cases of uterus slightly increased, both sides of the normal size of the uterus, uterine cavity no gestational sac, the attachment area on both sides or behind the uterus irregular shaped abnormal echo, the boundary is unclear, and more and around Tissue adhesion, especially closely related to the uterus, the internal echo messy, strength ranging from strong echo and irregular liquid dark area staggered distribution was mixed mass. CDFI showed no abnormal blood flow within the letter