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1、彩色多普勒超声在宫外孕中的诊断价值【摘要】目的：探讨彩色多普勒超声在宫外孕中的诊断价值。方法:选取我院自2006年1月至2008年1月间术前经彩色多普勒超声诊断的宫外孕患者90例，总结分析超声诊断符合率、声像特征等。结果:本组90例患者后经手术、病理证实为宫外孕者86例，准确率为95.56%。柯64例(66.67%)患者子宫轻度增大。输卵管妊囊型27例(30.00%),表现为较完整胎囊强冋声光环，部分见胚芽;输卵管包块型52例(57.78%),表现为边界不规则的包块回声，内部回声不均匀，胎囊显示不清楚;输卵管妊娠破裂出血时盆腔可见少或屮量积液
2、等。CDFI检查显示在囊实肿块内或周边见到点状或条状彩色血流信号，呈动脉样血流频谱，包络线不清楚，呈单相或双向低阻力，Vs为(50.05±5.02)cm/s,Vd为(23.20±4.45)cm/s,R［为(0.43±0.02)。结论:彩色多普勒超声在诊断宫外孕屮具有其他检查方式无法比拟的优势，值得临床应用。【关键词】彩色多普勒超声；宫外孕；诊断DiagnosticValueofColorDopplerforPatientswithEctopicPregnancyBAOGuo-an,LINXi-yu(ThePeople'sHospitalofL
3、ianjiang,GuangdongLianjiang524400,China)Abstract：Objective：Toinvestigatethediagnosticvaluesofcolordoppleronpatientswithectopicpregnaney.Method:90caseswithectopicpregnancyswhoreceivedcolordopplerultrasonicdiagnosisinourhospitalfromJanuaryin2006toJanuaryin2008wereselectedandt
4、hecoincidenceofultrasonicdiagnosisandfeatureofacousticimagewereanalyzed.Result:86casesin90patientswereconfinnedtobeectopicpregnancybyoperationandpathology,andthecoincidenceofultrasonicdiagnosiswas95.56%・Theuterusof64cases(66・67%)becamealittleaugmentation.27cases(30.00%)were
5、withtypeofuterinetubepregnant-scrotiform,andthefeatureofacousticimagewerethedenseechoofwholegestationalsacinaccompaniments,fewwithplumules・The52cases(57.78%)werewithtypeofuterinetubeclumps,andthefeatureofacousticimageshowedclumpechowereirregularityboundary,internalechowereu
6、neven,gestationalsacwerenotclearandtherewerealittleorafewoffluidifywhentubalpregnancyswereruptured.TheCDFIshowedthatthepunctiformorstripcolorbloodf1owsignalwerefound,whichbloodcurrentspectrumwereliketheartery,envelopecurveswerenotclear,monophaseorbilaterallowresistance.TheV
7、swere(50.05+5.02)cm/s,Vdwere(23.20±4.45)cm/sandRIwere(0.43+0.02).Conclusion:Therearemoremeritsincolordopplerthanothers,sothecolordopplerisworthbeingutilizedwidly.Keywords:Colordoppler;Ectopicpregnancy;Diagnosis自2006年1月至2008年1月我院采用彩色多普勒超声诊断宫外孕患者90例，现报告如下。1资料与方法1.1一般资料：选取我院自2
8、006年1月至2008年1月间术前经彩色多普勒超声诊断的宫外孕患者90例，年龄18〜42岁，平均(28.40±5.20)岁；85例(94.44%)患者有停经史，停经
