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目的:探讨超声检查在异位妊娠诊治中的应用效果。方法:回顾分析2012年1月-2014年12月,贵阳市中医一附院收治的40例异位妊娠患者的超声检查资料,对所有患者均采取保守治疗,评估超声检查诊断的准确率,并总结附件区包块声像图特点,观察治疗效果。结果:超声检查诊断为异位妊娠37例,漏诊3例,诊断准确率为92.5%,对附件区包块声像图表现加以分析,主要包括妊娠囊型,混合回声型和实质团块型等3种类型。所有患者经过保守治疗后,有效35例,无效5例。无效患者均改用手术治疗方案。结论:经阴道超声检查可有效对异位妊娠进行诊断,临床准确率高,且便于操作、无创,并能对治疗效果加以有效监测。
Objective: To investigate the application of ultrasound in diagnosis and treatment of ectopic pregnancy. Methods: From January 2012 to December 2014, 40 cases of ectopic pregnancy treated by First Affiliated Hospital of Traditional Chinese Medicine in Guiyang were retrospectively analyzed. Conservative treatment was performed on all the patients to evaluate the diagnostic accuracy of ultrasonography. Summarize the attachment area mass sonographic features, observe the therapeutic effect. Results: Echocardiography was diagnosed as ectopic pregnancy in 37 cases, missed diagnosis in 3 cases and diagnostic accuracy of 92.5%. The sonographic features of the parcel in the attachment area were analyzed, including gestational cyst, mixed echogenic and real mass 3 types. All patients after conservative treatment, effective in 35 cases, 5 cases. Invalid patients were switched to surgical treatment. Conclusion: Transvaginal ultrasonography can effectively diagnose ectopic pregnancy with high clinical accuracy, easy operation and noninvasive operation, and can effectively monitor the therapeutic effect.