Bignardi Tommaso, Alhamdan Dalya, Condous George
Acute Gynaecology and Early Pregnancy Unit, Nepean Centre for Perinatal Care, Nepean Clinical School, University of Sydney, Nepean Hospital, Penrith, Sydney, Australia.
Semin Ultrasound CT MR. 2008 Apr;29(2):114-20. doi: 10.1053/j.sult.2008.01.001.
Ultrasound technology and in particular the use of transvaginal imaging has taken the guesswork out of ectopic pregnancy diagnosis. The vast majority of ectopic pregnancies can and should be diagnosed with a high degree of certainty before management is commenced. More and more women with ectopic pregnancy are eligible for nonsurgical intervention because ultrasound has enabled clinicians to make the diagnosis much earlier in its natural history. We believe that laparoscopy, traditionally the gold standard in diagnosis of ectopic pregnancy, should not be used in modern management. There is more and more evidence to support the use of transvaginal ultrasound as the primary diagnostic tool for ectopic pregnancy. In this review we hoped to demonstrate that transvaginal ultrasound is the new gold standard for the diagnosis of ectopic pregnancy.
超声技术，尤其是经阴道成像的应用，已消除了异位妊娠诊断中的猜测成分。绝大多数异位妊娠在开始治疗前能够且应该被高度准确地诊断出来。越来越多的异位妊娠女性适合非手术干预，因为超声使临床医生能够在异位妊娠自然病程的更早阶段做出诊断。我们认为，传统上作为异位妊娠诊断金标准的腹腔镜检查，不应再用于现代治疗。越来越多的证据支持将经阴道超声作为异位妊娠的主要诊断工具。在本综述中，我们希望证明经阴道超声是异位妊娠诊断的新金标准。
