彩超诊断异位妊娠80例分析

周伟文+邵喜艳+邹幼霞

【摘要】 目的：探讨彩超诊断异位妊娠的应用价值。方法：选择异位妊娠患者80例行超声检查，并进行病理学检查和手术治疗，比较超声与病理的检查结果。结果：本组80例患者均经手术治疗，且经术后病理确诊为异位妊娠，其中75例经术前超声诊断为异位妊娠，诊断符合率为93.75%。误诊5例，误诊率为6.25%，5例误诊病例中1例为卵巢黄体破裂，1例为假孕囊，2例为盆腔炎性包块，另外1例为无症状型患者。结论：彩超在对异位妊娠的诊断中具有重要的意义，但在诊断过程中应注意结合临床表现与实验室检查结果，以提高诊断准确率。

【关键词】 彩超； 异位妊娠； 诊断

Analysis of Ultrasound in Diagnosing of Ectopic Pregnancy of 80 Cases/ZHOU Wei-wen，SHAO Xi-yan，ZOU You-xia.//Medical Innovation of China，2014，11（01）：138-139

【Abstract】 Objective：To discuss the clinical effect the value of ultrasound in the diagnosis of ectopic pregnancy.Method：Eighty patients with ectopic pregnancy were examined by ultrasound， and were given surgical treatment and pathological examination， and then the examination results were contrasted between the ultrasound and pathological.Result：Eighty patients with ectopic pregnancy were confirmed by pathologically examination， and 75 patients were diagnosed by ultrasound， the diagnosis rate was 93.75%（75/80）. Five cases were misdiagnosed， included 1 case with rupture of corpus luteum， 1 case with false gestational sac， 2 cases with pelvic inflammatory mass， and 1 case asymptomatic.Conclusion：Ultrasound has a significant effect in the diagnosis of ectopic pregnancy， but clinical manifestations and laboratory tests should be taken into account to improve the diagnostic accuracy.

【Key words】 Ultrasound； Ectopic Pregnancy； Diagnosis

First-authors address：The Peoples Hospital of Longgang District of Shengzhen City，Shengzhen 518172，China

doi：10.3969/j.issn.1674-4985.2014.01.065

正常妊娠情况下受精卵着床位置为子宫体腔内膜，如着床于宫腔内则为异位妊娠，是妇产科较为常见的急腹症之一，严重威胁患者生命安全，且近年来发病率呈现出明显的上升趋势[1]。多数研究认为异位妊娠的发病原因为流产、输卵管病理改变、盆腔炎、宫内节育器等[2]。但因部分患者就诊时病情较为急重，常无法清楚叙述病史，停经史不明确，故导致早期诊断存在一定困难，及时准确的诊断意见对于患者的预后将具有重要意义[3]。本研究分析80例异位妊娠患者彩超诊断报告，旨在探讨其诊断价值，现报告如下。

1 资料与方法

1.1 一般资料 选取本院超声科2011年2月-2012年10月诊断的异位妊娠80例，年龄21～42岁，平均（33.2±6.9）岁。未产妇16例，经产妇64例。术前给予腹部超声或经阴超声检查。有停经史患者60例，停经41～63 d，平均（49.2±8.9）岁。……