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目的 研究经腹超声 (TAS)与经阴道超声 (TVS)对输卵管妊娠的诊断价值。方法 44例输卵管妊娠患者行TAS与TVS ,并与手术结果进行对比分析。结果 输卵管妊娠直接声像图表现为环状回声与附件区非特异性包块 ;TAS对附件包块的诊断敏感性与包块大小相关 ;TAS与TVS对破裂型输卵管妊娠诊断的敏感性无差异 ;TVS对早期未破裂型输卵管妊娠的诊断明显优于TAS。结论 TVS对输卵管妊娠的早期诊断具有重要的临床应用价值。
Objective To study the diagnostic value of transabdominal ultrasound (TAS) and transvaginal ultrasound (TVS) in tubal pregnancy. Methods Forty-four patients with tubal pregnancy underwent TAS and TVS, and compared with the surgical results. Results The direct sonographic findings of tubal pregnancy showed ring echo and nonspecific masses in the accessory region. The sensitivity of TAS to the diagnosis of accessory mass was correlated with the mass of the masses. There was no difference in the sensitivity between TAS and TVS for the diagnosis of ruptured tubal pregnancy. TVS early unruptured tubal pregnancy diagnosis was significantly better than TAS. Conclusion TVS has an important clinical value in the early diagnosis of tubal pregnancy.