| 摘要: |
| 目的：回顾性分析异位妊娠病例,分析输卵管各节段异位妊娠的超声影像学特点及鉴别诊断要点,以便能更好的认识异位妊娠、提高异位妊娠早期诊断的准确率。方法：对超声诊断异位妊娠,经腹腔镜手术证实的115例输卵管异位妊娠病例进行对照分析研究。全面观察子宫、卵巢、异位妊娠病灶、及病灶与子宫和卵巢的位置关系,以及观察病灶边缘与子宫和卵巢的相互关系,采用多普勒技术观察病灶血流情况。 结果：本组中异位于输卵管间质部发生率约9.5%(11/115)、异位于输卵管峡部发生率约14.7%(17/115)、异位于输卵管壶腹部发生率约71.3%(82/115)、异位于伞部发生率约4.3%(5/115)。输卵管异位妊娠各节段诊断准确率分别为：输卵管间质部64%,峡部29%,壶腹部85%,伞部20 %。 结论：①输卵管异位妊娠以壶腹部最常见,其次为峡部、间质部、伞部；②输卵管不同节段异位妊娠有其各自特点,应熟知输卵管解剖特点及各节段异位妊娠的超声影像学特点,以便能更好的诊断和鉴别诊断,以及早期准确识别。 |
| 关键词: 超声诊断, 异位妊娠，输卵管异位妊娠 |
| DOI： |
| 投稿时间：2021-05-21修订日期：2021-06-09 |
| 基金项目: |
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| Xu Mei , Yu Mengnan, LI Dongli,Fan XiaoyanDepartment of Ultrasound Diagnosis, Air Force Medical Center, PLA, Beijing 100142,China |
| xumei,yumennan,lidongli fanxiaoyan |
| () |
| Abstract: |
| Objective Retrospective analysis of the cases in ectopic pregnancy, To summarize the incidence of ectopic pregnancy,and ultrasonic performance charancteristics; analysis of ultrasonic imaging charancteristics in ectopic pregnancy of the tubal different segment and the key points of differential diagnosis, so that to better recognize ectopic pregnancy、to improve diagnosis accuracy of ectopic pregnancy. Methods 115 case of ultrasound diagnosis of ectopic pregnancy, to analyze and study of laparosopic surgery. Comprehensively observe the uterus、ovary、fallopian tube、lesion, and observe the relationship with the location of the uterus and the ovary. Focus on scanning the attachment area between ovarian and uterus. Results the incidence of tubal ectopic pregnancy in interstitial tubal was 9.5%(11/115), the incidence of tubal ectopic pregnancy in tubal narrow was 14.7%(17/115), the incidence in tubal ampulla was 71.3%(82/115), the incidence in tubal umbrella department was 4.3%(5/115). The diagnosis accuracy of each section of tubal ectopic pregnancy was different, interstitial tubal:64%、tubal narrow:29%、tubal ampulla:85%、tubal umbrella department:20%. |
| Key words: ultrasonic diagnosis, Ectopic pregnancy, Tubal ectopic pregnancy |
