经阴道超声与经腹超声诊断输卵管妊娠的38例临床对比分析

目的比较经阴道超声(TVS)与经腹超声(TAS)诊断输卵管妊娠的优劣。方法对38例输卵管妊娠患者在膀胱适度充盈下行TAS检查,排空膀胱后再行TVS检查,比较上述两种方法的影像学表现。结果TVS和TAS分别显示附件区包块38、30例,孕囊23、13例,胎心10、5例,盆腔积液16、14例,胚胎环状血流信号25、13例。结论本组资料说明在诊断输卵管妊娠方面TVS比TAS发现时间早,更清晰、准确,更有价值。

Transvaginal sonography and transabdominal sonography in the diagnosis of ectopic pregnan cy in the fallopian tubal: a comparative study in 38 cases

Objective To compare t he accuracy of transvaginal sonography (TVS) and transabdominal sonography (TAS) in the diagnosis of ectopic pregnancy occurring in the fallopian tubal. Method s Thirty-eight patients with ectopic pregnancy in the fallopian tube were exami ned by TAS with moderately filled bladder, followed by reexamination with TVS wi th the blad-der emptied. The manifestations in the 2 imaging examinations were c ompared. Results TVS showed masses in 38, gestations in 23, heart beat in 10, p elvis fluid in 16 and circular blood signal in 25 cases respectively, while TAS identified masses in 30, gestations in 13, heart beat in 5, pelvis fluid in 14 and circular blood flow signal in 13 cases. Conclusion TVS may offer an earlier , clearer and more exact diagnosis of ectopic pragnacy in the fallopian tube tha n TAS is capable of.