[阴道超声检查在宫外孕中的应用]

[Vaginal endosonography in extrauterine pregnancy].

作者信息

Bonilla-Musoles F, Pardo G, Sampaio M, Pellicer A, Simon C, Strasser J

机构信息

Universitäts-Frauenklinik Valencia (Spanien).

出版信息

Ultraschall Med. 1989 Aug;10(4):215-21. doi: 10.1055/s-2007-1005994.

DOI:10.1055/s-2007-1005994

PMID:2477901

Abstract

The real value of vaginal sonography in the early diagnosis of ectopic pregnancy was assessed in 12 cases where ectopic pregnancy was suspected by clinical evolution and levels of B-HCG, and subsequently confirmed by microlaparotomy. The results were compared with those obtained with abdominal sonography and values of B-HCG. Vaginal sonography gave no false negatives and the percentage of false positives was 16.6%. The most typical echographyc images were: 1. Adnexal Mass (50%), 2. Pseudoring (42%), 3. Yolk sac &/or Embryo &/or Heart rate (25%). Values of B-HCG greater than 600 mIU/IS without embryo from 35th day are highly suspicious with regard to ectopic pregnancy.

摘要

通过临床进展和β - HCG水平怀疑为异位妊娠，随后经微型剖腹术确诊的12例患者中，评估了阴道超声检查在异位妊娠早期诊断中的实际价值。将结果与腹部超声检查结果及β - HCG值进行比较。阴道超声检查无假阴性，假阳性率为16.6%。最典型的超声图像为：1.附件包块（50%），2.假环（42%），3.卵黄囊及/或胚胎及/或心率（25%）。从第35天起，β - HCG值大于600 mIU/IS且无胚胎，高度怀疑为异位妊娠。