摘要
目的分析超声对于异位妊娠的诊断价值,总结超声声像图特征。方法方便选取2017年1月-2018年12月108例异位妊娠患者为研究对象,全部患者均经随访证实为异位妊娠,年龄24~38岁,均接受超声检查,分析超声检查结果与声像图特征。结果该研究108例患者接受超声检查显示存在未破裂型、流产型、破裂型、陈旧型共4种分型,所占比重分别为57.41%、13.89%、21.30%、7.41%,四类分型患者的异位妊娠包块大小分别为(2.32±0.57)cm、(2.64±0.58)cm、(3.53±0.57)cm、(2.98±0.59)cm;该组108例异位妊娠患者经超声检查显示漏诊率为3.70%,误诊率为5.56%。结论超声诊断异位妊娠有一定价值,但也有误诊及漏诊可能,临床应该与患者病史、临床其他检查情况进行结合分析,以保证最高的诊断准确率,为异位妊娠的临床诊断提供最高准确度的结果,指导临床治疗进行。
Objective To analyze the diagnostic value of ultrasound in ectopic pregnancy and summarize the features of ultrasound.Methods A total of 108 patients with ectopic pregnancy were taken convenient selection from January 2017 to December 2018.All patients were confirmed to be ectopic pregnancy after follow-up, aged 24-38 years, all underwent ultrasound examination, and the results of ultrasound examination and sonographic features were analyzed.Results Ultrasound examination showed that there were four types of unruptured type, abortion type, ruptured type and old type, the proportion of which was 57.41%, 13.89%, 21.30%, 7.41%. The size of ectopic pregnancy mass was(2.32 ±0.57)cm,(2.64±0.58)cm,(3.53±0.57) cm,(2.98±0.59) cm;showed that the missed diagnosis rate was 3.70% and the misdiagnosis rate was5.56%. Conclusion Ultrasound is valuable in the diagnosis of ectopic pregnancy, but it is also possible to misdiagnose and miss diagnosis. Clinical diagnosis should be combined with patient history and other clinical examinations in order to ensure the highest diagnostic accuracy and provide the highest accurate results for the clinical diagnosis of ectopic pregnancy, to guide the clinical treatment.
作者
曹媛媛
CAO Yuan-yuan(Health care Department of women,Maternal and Child Health Family Planning Service Center,Jiangning District,Nanjing,Jiangsu Province,211100 China)
出处
《中外医疗》
2020年第10期172-174,共3页
China & Foreign Medical Treatment
关键词
异位妊娠
超声
声像图
特征
Ectopic pregnancy
Ultrasound
Sonography
Characteristics