经阴道彩色多普勒超声诊断妊娠黄体的价值

《经阴道彩色多普勒超声诊断妊娠黄体的价值》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、经阴道彩色多普勒超声诊断妊娠黄体的价值作者：韦兴来，莫祝宁,晏湘梅，刘江泽,胡小韦单位：玉林市第一人民医院，广西玉林【摘要】目的：探讨阴道彩色多普勒超声(TVS-CDFI)诊断妊娠黄体的价值。方法：对68例我院妇科门诊诊断为早期妊娠的妇女行经阴道彩色多普勒超声检查，观察记录子宫内妊娠囊情况、附件有无包块、确定卵巢内妊娠黄体，观察记录妊娠黄体的大小、形态、内部回声特点及血供分布特点，随访复查B超了解附件区包块变化情况。结果：根据附件区包块内部回声特点分为三型：低回声型47例、混合回声型19例、无回声型2例。其中以低回声型多见。彩色

2、多普勒血流显示(CDFI)68例附件区包块周边探及环状、半环状彩色血流信号，脉冲多普勒测及低速低阻动脉频谱［阻力指数：(0.46±0.03)cm/s,收缩期峰值流速(13.14±5.87)cm/s］。68例超声诊断妊娠黄体65例,误诊3例，均经临床随访复查或微创手术证实。结论：TVS-CDFI是妊娠黄体的无创性检查手段，正确认识妊娠黄体对于早期妊娠的诊断与鉴别诊断具有重大意义。【关键词】经阴道彩色多普勒超声检查妊娠黄体DiagnosisValueofPregnantCorpusonTransvagin

3、alColorDopplerlmagingWEIXing-lai,MOZhu-ning,YANXiang-mei,etalTheFirstPeople，sHospitalofYulin,Guangxi537000,ChinaAbstract:ObjectiveToexplorethediagnosisvalueofearlypregnantcorpusonTVS-CDFI.Methods68patientswhowerediagnosedasearlypregnancybyourgynecologicclinicsweredet

4、ectedonTVS-CDFI.Theconditionofgestationbagandwhetherthereisadnexalmasseswasobservedtomakesurewhetherpregnantcorpusisinsidetheovary.Thesize,form,configurationandbloodflowchangesinthepregnantcorpusarterieswereobservedandrecorded.Thechangesofadnexalmasseswerefollowedupa

5、ndreexamined.ResultsThetwodimensionalsonogramsofcorpusluteumofearlypregnancycanbedividedinto3typesaccordingtotheconfiguration:47caseswitharoundhypo-echoicstructurefound,19caseswithamixed-echoicstructurefound,2caseswithecho-freearea・Theroundhypo-echoicstructurefoundis

6、themost・TransvaginalcolorDopplerimagingtypesrevealedthelutealbloodf1owpatternedacircumferentialrimaroundtheentirelutealcystwall,ahemicyclerimaroundthecystwal1.PWshowedlowvelocityandlowresistancepattern(RI:0.46±0.03cm/s;PI:13.14±5.87cm/s).Pregnantcorpusw

7、asidentifiedin65outof68and3caseswerediagnosticerrors・Theresultwasconfirmedbyfollow-upandreexaminationorminimallyinvasiveoperation.ConclusionTransvaginalcolorDopplerimagingisanontraumaticmethodfordiagnosisofpregnantcorpus・It'sveryvaluabletorecognisepregnantcorpuscorre

8、ctlyforearlypregnancydiagnosisanddifferentialdiagnosis・Keywords:TransvaginalcolorDopplerimaging(TVS-CDFI);EarlyPregnancy;PregnantCo