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目的探讨经腹部超声(TAS)与经阴道超声(TVS)及联合法(TAS+TVS)对早期诊断宫外孕的价值。方法对疑似宫外孕患者行TAS、TVS或TAS+TVS检查,配合彩色多普勒检测包块血流。结果TAS诊断破裂陈旧型宫外孕1例;TAS+TVS诊断胎囊型8例、流产型3例、陈旧型2例;TAS法误诊为盆腔炎1例;TAS+TVS结合彩色多普勒诊断破裂型4例。结论TAS+TVS超声诊断宫外孕为较适宜的方法,而结合彩色多普勒检测包块血流则更具优越性。
Objective To investigate the value of transabdominal ultrasonography (TAS), transvaginal sonography (TVS) and combined with TAS + TVS in the early diagnosis of ectopic pregnancy. Methods TAS, TVS or TAS + TVS were performed on patients with suspected ectopic pregnancy, and color doppler was used to detect the mass of blood in the mass. Results TAS diagnosis of ruptured old ectopic pregnancy in 1 case; TAS TVS diagnosis of fetal sac in 8 cases, abortion in 3 cases, old in 2 cases; TAS misdiagnosed as pelvic inflammatory disease in 1 case; TAS TVS combined with color Doppler diagnosis of rupture 4 cases. Conclusion TAS + TVS ultrasound diagnosis of ectopic pregnancy is more appropriate method, combined with color Doppler detection of mass blood flow is even more advantages.