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经阴道后穹窿作Douglas氏窝穿刺是诊断宫外孕的有效方法,也有助于对盆腔炎的诊断和卵巢肿瘤恶性程度的判断。本文叙述了Douglas氏窝穿刺的指征、穿刺方法及临床意义。在指征中,对宫外孕诊断的阳性率为94.5%,而妊娠试验的阳性率为77.3%,妊娠时的宫颈反应(Arias-Stella)阳性率为47.4%。其次是在临床上怀疑卵巢肿瘤时,术前Douglas氏窝穿刺采取的腹腔液进行细胞学检查,确定组织类型及分期,其阳性率与剖腹取腹水检查的阳性率相似(前者为60%,后者为65.8%)。但囊腺癌在穿刺中阳性率
Transvaginal posterior fornix for Douglas puncture is an effective method of diagnosis of ectopic pregnancy, but also contribute to the diagnosis of pelvic inflammatory disease and ovarian cancer to determine the degree of malignancy. This article describes the indications, puncture methods and clinical significance of Douglas’s popliteal puncture. In the indications, the positive rate of diagnosis of ectopic pregnancy was 94.5%, while the positive rate of pregnancy test was 77.3%, cervical pregnancy response (Arias-Stella) positive rate was 47.4%. Followed by the clinical suspicion of ovarian tumors, preoperative Douglas popliteal peritoneal fluid taken cytological examination to determine the type and stage of the organization, the positive rate and caesarean section to take the positive test (60% of the former, after Who is 65.8%). However, the positive rate of cystadenocarcinoma in the puncture