【摘要】 目的:探讨经阴道超声(TVS)二维显像在化学药物治疗输卵管妊娠(TP)中的价值。方法:分析59例化学药物保守治疗TP病例包块二维显像(大小及回声类型)的动态变化。结果:59例保守治疗成功率89.83%(53/59)。成功组病例治疗后7天TP包块最大径线均值较治疗前1天大(P<0.05)。成功组病例治疗后TP包块内暗区张力变低,失败组病例包块内部暗区变大、张力变高或呈破裂型图像。结论:TP经化学药物保守治疗后包块暂时变大并不能视为保守治疗失败;TP包块回声类型较包块大小评价TP药物保守治疗疗效更有价值。更多还原

【Abstract】 Objective:To evaluate the value of transvaginal sonograplhic(TVS) in conservative treating tubal pregnancy(TP).Methods:59 cases of TP were retrospected by TVS,including the size and internal echo of TP mass before and after medical treatment.Results:53 cases were treated successfully,the success rate was 89.83% (53/59).In the success group,TP mass was identified on TVS with a mean size of (2.08±0.65)cm.Following the first week of medical treatment,the size significantly increased to(2.36±0.90)cm(P<0.05) and the liquid dark area in the TP mass was smaller; while in the failure group,the liquid dark area was larger than before or TP mass ruptured after medical treatment.Conclusion:An initial increase in the size of the TP mass during medical treatment should not be considered as a higher risk for failure; The internal echo is better than the size of TP mass in assessing the medical treatment results.更多还原