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1、彩色多普勒超聲對宮外孕的診斷價值作者:徐宏偉單位:150070黑龍江哈爾濱,哈爾濱市第十醫(yī)院彩超室【關(guān)鍵詞】彩色多普勒StudyonultrasonicdiagnosisofectopicpregnancyXUHong-wei,XUHui,LIUYan.DepartmentofUltrasound,TheTenthHospitalofHarbin,Heilongjiang150070,China[Abstract]ObjectiveTostudyultrasonicdiagnosisofectopicpregnancysoastopromoteitsultrason
2、icdiagnosisconformingrate.MethodsThroughretrospectiveanalysisofultrasoundimagingcharacteristicsunder2DandCDFI,185patientswereprovedbyoperationandpathology.ResultsTherewere185caseswithectopicpregnancywhichultrasonicconformingratewas94.05%.ConclusionUltrasonographyisaprecise,convenientme
3、thodtodetecttheectopicpregnancyanddistinguishthecharacteristics.[Keywords]pregnancy,ectopic;ultrasonography,Doppler,color彩色多普勒超聲對宮外孕的診斷價值作者:徐宏偉單位:150070黑龍江哈爾濱,哈爾濱市第十醫(yī)院彩超室【關(guān)鍵詞】彩色多普勒StudyonultrasonicdiagnosisofectopicpregnancyXUHong-wei,XUHui,LIUYan.DepartmentofUltrasound,TheTenthHospita
4、lofHarbin,Heilongjiang150070,China[Abstract]ObjectiveTostudyultrasonicdiagnosisofectopicpregnancysoastopromoteitsultrasonicdiagnosisconformingrate.MethodsThroughretrospectiveanalysisofultrasoundimagingcharacteristicsunder2DandCDFI,185patientswereprovedbyoperationandpathology.ResultsThe
5、rewere185caseswithectopicpregnancywhichultrasonicconformingratewas94.05%.ConclusionUltrasonographyisaprecise,convenientmethodtodetecttheectopicpregnancyanddistinguishthecharacteristics.[Keywords]pregnancy,ectopic;ultrasonography,Doppler,color本文對經(jīng)手術(shù)及病理證實(shí)的185例宮外孕包塊的彩色多普勒超聲(CDU)影像特點(diǎn)及誤診病例進(jìn)
6、行回顧性分析,旨為探討CDU對宮外孕包塊的臨床診斷價值。1資料與方法1.1一般資料我院自1999年以來經(jīng)手術(shù)及病理證實(shí)的185例宮外孕患者,年齡18~48歲,平均28歲,停經(jīng)時間為38~71天。173例患者有停經(jīng)史(93.5%),171例患者伴有陰道不規(guī)則流血(92.4%),170例患者伴有不同程度的腹痛(91.9%),全部患者超聲檢查前或后,尿或血HCG均為陽性。1.2儀器和方法應(yīng)用儀器Apogee800型彩色多普勒超聲診斷儀,探頭頻率3.5MHz和7.5MHz(陰式探頭)檢查方法。受檢者取仰臥位經(jīng)腹部或陰道對子宮、附件區(qū)、盆腔以及雙側(cè)髂窩進(jìn)行檢查。注意子宮的大小
7、、形態(tài)、位置以及宮腔的情況,同時對附件區(qū)病灶的大小、形態(tài)以及聲學(xué)特點(diǎn)進(jìn)行仔細(xì)分析。對于附件區(qū)的患者行經(jīng)陰道二維超聲檢查、彩色多普勒(CDFI)檢查,綜合二維超聲、CDFI進(jìn)行診斷。觀察子宮腔有無妊娠囊,內(nèi)膜增厚情況,附件區(qū)有無胎囊和包塊,了解盆腹腔有無積液。對于病灶顯示不清的患者,建議進(jìn)行超聲動態(tài)復(fù)查來明確診斷。2結(jié)果2.1超聲病灶部位與手術(shù)對照見表1。表1超聲病灶部位與手術(shù)對照注:超聲診斷正確率94.05%,漏誤診率5.05%2.2宮外孕的聲像圖表現(xiàn)(1)子宮內(nèi)膜增厚:82例子宮內(nèi)膜不同程度增厚(44.3%),最高達(dá)3.5cm,平均1.09cm。(2)宮腔內(nèi)顯