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目的探讨经腹部超声(TAS)经阴道超声(TVS)联合运用在输卵管妊娠诊断中的价值。方法对2011年1月-2013年1月经TAS及TVS联合检查,并经手术治疗病理证实,诊断为输卵管妊娠的37例病例的声像图进行回顾性分析。结果输卵管妊娠声像图表现为孕囊型、杂乱包块并盆腔积液、不均质实质性小包块。TAS与TVS对附件区包块诊断的敏感性与包块大小有关,二者对早期小于3cm包块的诊断敏感性有显著差异。37例输卵管妊娠患者TVS检查,符合率94.5%;TAS检查,符合率54%。结论 TVS对未破裂型异位妊娠小包块的显示有明显优势,可用于输卵管妊娠的早期诊断。TAS对位置过高或输卵管妊娠流产形成大于5cm包块有很好显示。两种检查方法联合应用,可明显提高诊断准确率。
Objective To investigate the value of transvaginal ultrasonography (TAS) combined with transvaginal sonography (TVS) in the diagnosis of tubal pregnancy. Methods A retrospective analysis was performed on 37 cases diagnosed as tubal pregnancy by pathological examination of TAS and TVS in January 2011-January 2013. Results tubal pregnancy sonography showed gestational sac type, clutter and pelvic fluid mass, heterogeneous mass of small pieces. The sensitivity of TAS and TVS to the diagnosis of mass in the attachment zone was related to the size of the mass. The diagnostic sensitivity of TAS and TVS to early mass less than 3cm was significantly different. 37 cases of tubal pregnancy TVS examination, with a rate of 94.5%; TAS examination, in line with the rate of 54%. Conclusions TVS has obvious advantages for the detection of unruptured ectopic pregnancy mass and can be used for the early diagnosis of tubal pregnancy. TAS on the location is too high or tubal pregnancy abortion formation of more than 5cm mass is well demonstrated. The combination of two test methods can significantly improve the diagnostic accuracy.