阴道超声与异位妊娠

目的：探讨阴道超声在异位妊娠诊断和治疗方面的价值，方法：回顾２０例临床疑异位妊娠高例，应用阴道超声检查子宫内外，附件及子宫直肠窝等情况，并结合尿ＨＣＧ测定确定异位妊娠诊断。结果：经阴道声确定为异位妊娠９例，其中手术证实诊断８例，符合率８８．９％，１例为卵巢破裂，误诊率１１．１％，排除异位妊娠１１例，其中诊为宫内妊娠３例，卵巢破裂２例，药物流产子宫复旧不全２例，盆腔炎，子宫不正出血４例，经过症治疗全

Ultrasonic examination per vagina and heterotopic pregnancy

OBJECTIVE: To investigate the value of ultrasonic examination per vagina in diagnosing and treating heterotopic pregnancy (HP). MEthODS: 20 cases of unsure HP were examined by transvagina ultrasonography combined with urine HCG. RESULts:9 cases of HP were diagnosed by ultrasonography. In these cases, 8 were surely HP after operation, predictive rate was 88. 9%. One case was ovariorrhexis,misdiagnosis rate was 11. 1 %. 11 cases were not HP. In these cases, 3 cases were ulterinepregnancy, 2 cases were ovariorrhexis and 2 cases were subinvolution of uterus after drug induction,the other 4 cases were pelvic inflammation and metrorrhagia. After the treatment,all patients were recovery. CONCLUSION: The early diagnosis of HP by ultrasonography per vagina plays an important role in reducing attact rate of acute abdomen caused by HP.