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目的:探讨经阴道彩超在早期异位妊娠中的临床应用价值。方法:回顾性分析经手术病理证实50例早期异位妊娠经阴道彩超检查的超声征像。结果:附件区有约1.5-2.0cm的环状偏强回声包块,中心部呈液性暗区,其中13例见原始心管搏动,5例宫颈部妊娠,盆腔内无积液。50例宫外孕包块,36例测得包块边血流信号,为动脉血流频谱,呈单峰或呈双峰,颇窗增宽。14例宫外孕包块未测及明确的血流信号。结论:阴道彩超检查方便、安全、无痛苦,诊断迅速,能为异位妊娠患者及早提供有价值的诊断依据。
Objective: To investigate the clinical value of transvaginal ultrasound in early ectopic pregnancy. Methods: A retrospective analysis of 50 cases of early ectopic pregnancy confirmed by surgery and pathology by ultrasound transvaginal ultrasound. Results: In the attachment zone there was a ring-shaped hyperechoic mass with a radius of 1.5-2.0 cm. The central part showed a liquid dark area. Thirteen cases were found to have primitive cardiac beatings and five cervical pregnancies without effusion in the pelvis. 50 cases of ectopic pregnancy mass, 36 cases measured mass edge blood flow signals for the arterial blood flow spectrum was single peak or bimodal, quite widened windows. 14 cases of ectopic pregnancy mass did not detect a clear signal of blood flow. Conclusions: Convenient, safe, painless and rapid diagnosis of vaginal ultrasound can provide valuable diagnostic evidence for patients with ectopic pregnancy.