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目的探讨阴道超声在异位妊娠诊断中的应用价值。提高异位妊娠的诊断率,特别是输卵管妊娠未破裂前诊断,可最大限度地缩小输卵管损伤程度。方法采用GE-LOGIQ200PRO超声诊断仪。腹部探头频率5 MHz,阴道探头频率6.5 MHz,先经腹部常规检查子宫、双侧附件,宫内未发现孕囊回声,附件可由异常回声包块,尿HCG(+)患者。结果 40例患者子宫不同程度增大,宫腔内未见妊娠囊,超声声像图表现为典型孕囊型、不典型孕囊型和包块三种类型。结论经阴道超声探头分辨率高,图像清晰,能及时准确诊断异位妊娠,可为临床及时处理和早期保守治疗提供可靠的诊断依据。
Objective To investigate the value of vaginal ultrasound in the diagnosis of ectopic pregnancy. To improve the diagnosis of ectopic pregnancy, tubal pregnancy, especially before the diagnosis of rupture, tubal damage can be minimized. Methods GE-LOGIQ200PRO ultrasonic diagnostic apparatus. Abdomen probe frequency 5 MHz, vaginal probe frequency 6.5 MHz, the first routine abdominal examination uterus, bilateral accessories, intrauterine gestational sac echo was not found, the attachment may be abnormal echo mass, urinary HCG (+) patients. Results 40 cases of uterus increased to varying degrees, no intrauterine gestational sac, ultrasonography showed typical gestational sac, atypical gestational sac and mass three types. Conclusion Transvaginal ultrasound probe with high resolution and clear image can diagnose ectopic pregnancy in time and accurately, which can provide a reliable basis for clinical treatment and early conservative treatment.