经手术证实的异位妊娠的经阴道超声检查结果
Transvaginal ultrasonographic findings in surgically verified ectopic pregnancy.
作者信息
Burry K A, Thurmond A S, Suby-Long T D, Patton P E, Rose P M, Jones M K, Choffel J K, Nelson D W
机构信息
Department of Obstetrics and Gynecology, Oregon Health Sciences University, Portland 97201-3098.
出版信息
Am J Obstet Gynecol. 1993 Jun;168(6 Pt 1):1796-800; discussion 1800-2. doi: 10.1016/0002-9378(93)90692-c.
OBJECTIVE
Our purpose was to evaluate transvaginal ultrasonographic findings in ectopic pregnancies for positive ultrasonographic sign(s).
STUDY DESIGN
Eighty-nine patients admitted with an ectopic pregnancy from September 1987 through September 1989 were retrospectively reviewed. Sixty-nine had undergone transvaginal ultrasonography within 10 days before surgery. The ultrasonographic examinations were reviewed by four radiologists.
RESULTS
Ultrasonography revealed adnexal masses in 54 patients (78%). Thirty-six masses had an appearance consistent with an adnexal ring. Twenty-four adnexal rings demonstrated a thin sonolucent area surrounding the ring, a "halo sign" (67%). A control group of 116 intrauterine pregnancies were evaluated by ultrasonography. Forty-one women had adnexal cysts. Twenty-seven of these had an adnexal ring; only two of these had halos.
CONCLUSION
The halo sign is presumptive evidence of a living ectopic pregnancy and, when identified, may allow earlier diagnosis and intervention.
目的
我们的目的是评估异位妊娠经阴道超声检查结果，以寻找阳性超声征象。
研究设计
回顾性分析了1987年9月至1989年9月收治的89例异位妊娠患者。其中69例在手术前10天内接受了经阴道超声检查。超声检查结果由四位放射科医生进行评估。
结果
超声检查发现54例（78%）患者有附件包块。36个包块表现符合附件环。24个附件环显示环周围有一薄的无回声区，即“晕环征”（67%）。对116例宫内妊娠的对照组进行了超声检查。41例女性有附件囊肿。其中27例有附件环；只有2例有晕环。
结论
晕环征是存活异位妊娠的推测性证据，一旦发现，可能有助于早期诊断和干预。
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