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目的:评价超声在异位妊娠早期诊断中的应用价值,总结诊断经验。方法:回顾性分析确诊的早期异位妊娠超声诊断临床资料。结果:输卵管妊娠73例(89.02%),非输卵管妊娠9例(10.98%);胚囊类30(36.59%)例,实性包块30(36.59)例,不均质包块13(15.85%)例;伴有盆腔积液12例;确诊68(82.93%)例,漏诊4(4.88%)例;第1次、第2次、第3次诊断,阴道超声符合率90.91%、92.00%、100.00%,腹部超声诊断符合率58.33%、88.61%、98.65%;典型征象心血管搏动占13.41%、胚芽反射21.95%、双环征23.17%,不典型征象囊实性包块43.90%、积液14.63%、散在性包块9.76%。结论:异位妊娠早期超声征象多不典型,腹部超声诊断符合率较低,应尽量应用阴道超声,多次诊断,有助于提高诊断符合率;早期孕囊多表现为囊实性包块,若位置敏感,应提高警惕,详细确诊。
Objective: To evaluate the value of ultrasound in early diagnosis of ectopic pregnancy and summarize the experience of diagnosis. Methods: The clinical data of early diagnosis of ectopic pregnancy diagnosed by ultrasound were retrospectively analyzed. Results: Tubal pregnancy in 73 cases (89.02%), non-tubal pregnancy in 9 cases (10.98%), embryo sac in 30 cases (36.59%), solid masses in 30 ); With pelvic fluid in 12 cases; diagnosed 68 (82.93%) cases, missed 4 (4.88%) cases; 1st, 2nd and 3rd diagnosis, the coincidence rate of 90.91%, 92.00% 100.00%. The diagnostic rates of abdominal ultrasonography were 58.33%, 88.61% and 98.65% respectively. The typical signs of cardiovascular beating were 13.41%, embryo reflex 21.95%, bicyclic sign 23.17%, atypical signs of cystic solid mass 43.93% %, Scattered mass 9.76%. Conclusions: The echography of early ectopic pregnancy is often atypical and the diagnostic accuracy of abdominal ultrasonography is low. Vaginal ultrasound and multiple diagnosis should be applied as far as possible to improve the diagnostic coincidence rate. Early gestational sac often presents as cystic mass, If the location is sensitive, should be vigilant, detailed diagnosis.