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常规超声检查,对妇科宫外孕的早期诊断和早期处理有一定的临床价值,尤其对于未破裂的异位妊娠的确诊。而彩色多普勒的检查,大大提高了常规超声对本病诊断的敏感性和特异性。 资料与方法 本文收集了1999年6月至2000年5月间,住我院妇科26例拟诊“宫外孕”患者轻彩超检查后,与手术后病检比较证实。年龄24～35岁,平均29.5岁。 仪器:使用日本EUB—565A心腹两用彩超机,探头频率3.5MHz。 检查方法:受检者在膀胱未充盈(或未完全充盈)时第一次检查,主要观察此时盆腔内有无异常团块,位置在哪里,有无压痛,盆腔(尤其髂窝三角处)有无积液,积液的量,测定、记录结果,见表1。依作者经验,这种第一次检查非常重要,它能起到与盆腔其它病变相鉴别的作用,如:兰尾炎、卵巢囊肿蒂扭转等。然后嘱受检者常规充盈膀胱,(危急病人经尿道注射生理盐水400ml)再进行彩超的一系列检查,测定子宫饱满程度,子宫内膜增厚否,子宫内血流情况,双侧附件区团块的大小,彩色血流信号及血流频谱分析,测定RI值,结果见表2,再与术后病检结果对照,见表3。
Conventional ultrasound, early diagnosis and early treatment of gynecological ectopic pregnancy have some clinical value, especially for the diagnosis of unruptured ectopic pregnancy. The color Doppler examination, greatly enhanced the sensitivity and specificity of conventional ultrasound diagnosis of the disease. Materials and Methods This article collected from June 1999 to May 2000, living in our hospital gynecological 26 cases were diagnosed “ectopic pregnancy” light color ultrasound examination, compared with postoperative pathological examination confirmed. Aged 24 to 35 years old, average 29.5 years old. Instrument: Use Japan EUB-565A confocal color ultrasound machine, the probe frequency of 3.5MHz. Inspection methods: the subjects in the bladder is not full (or not fully filled) when the first inspection, the main observation at this time pelvic abnormal mass, location, with or without tenderness, pelvic cavity (especially the iliac fossa triangle) With or without fluid, the amount of fluid, measurement, record the results, see Table 1. According to the author’s experience, this first examination is very important, it can play a role in the differential diagnosis of other pelvic lesions, such as: mansonitis, ovarian cyst torsion and so on. Then instruct the subjects filling the bladder routine, (emergency patients transurethral saline 400ml) and then a series of color Doppler ultrasound examination to determine the degree of fullness of the uterus, endometrial thickening no, intrauterine blood flow, bilateral annex group Block size, color flow signal and blood flow spectrum analysis, determination of RI values, the results shown in Table 2, and then with the results of postoperative pathological examination, shown in Table 3.