国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (3): 306-307.

• 论著 • 上一篇    下一篇

经阴道超声结合VCI-C平面及3D-Glassbody成像模式在诊断异位妊娠中的应用

彭芳华 , 王冬梅   

  1. 300100 天津市中心妇产科医院(彭芳华);河北省保定市第一中心医院(王冬梅)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-06-15 发布日期:2012-06-15
  • 通讯作者: 王冬梅

Transvaginal Ultrasonography Combined with VCI-C Plane and 3D-Glassbody Modality in Diagnosis of Ectopic Pregnancy

PENG Fang-hua，WANG Dong-mei   

  1. Tianjin Obstetrics and Gynecology Central Hospital，Tianjin 300100，China（PENG Fang-hua）；Baoding First Central Hospital，Baoding 071000，Hebei Province，China（WANG Dong-mei）
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-06-15 Online:2012-06-15
  • Contact: WANG Dong-mei

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被引次数

7

摘要： 目的：探讨容积对比成像技术（VCI-C平面）、三维玻璃体模式（3D-Glassbody）及经阴道彩色多普勒超声诊断异位妊娠（EP）的特征性依据，以提高EP诊断的准确性。方法：对188例疑似早期EP的患者，进行二维经阴道（必要时结合经腹）彩超及VCI-C平面+Glassbody模式，观察包块滋养动脉血流分布及频谱。结果：188例中及时确诊183例。①附件区的妊娠囊内可见胎芽和（或）卵黄囊，17例（9.0%）有胎心搏动。②Donut征（输卵管环），其中98例有Donut征，占52.1%。③附件区内可探及混合性包块，有时伴有少量积液，共60例，占31.9%。④另有8例仅表现为盆腔积液，占4.3%。诊断符合率97.3%。误诊5例，均为宫内妊娠合并卵巢黄体破裂，误诊率为2.7%。结论：经阴道超声结合彩色多普勒（CDFI）/能量多普勒（CDE），能准确迅速地取得EP的诊断证据，VCI-C平面超声成像结合3D-Glassbody成像模式，信息量大，提高了对比分辨率与信噪比，可较二维超声提供更详尽的信息。

关键词: 超声检查, 多普勒, 彩色, 成像, 三维, 妊娠, 异位

Abstract: Objective：To investigate the volume contrast imaging C-plane（ VCI-C plane）， 3-D Glassbody mode and transvaginal color Doppler ultrasound in diagnosis of ectopic pregnancy（EP）characteristic basis，in order to improve the accuracy of diagnosis of EP. Methods：188 patients with suspected early ectopic pregnancy，examined with 2-D transvaginal ultrasonography（combined with transabdominal ultrasonography necessary） and VCI-C plane + Glassbody model， to observe mass′ support artery distribution and spectrum. Results：Among the 188 cases，183 cases were diagnosed promptly.①The attachment area had the gestational sac visible within the embryo and/or yolk sac，there were 17 cases of fetal heart beat，9.0%. ②The Donut syndrome（tubal ring ），including 98 cases of Donut syndrome，52.1%. ③The attachment area can be explored mixed mass，sometimes accompanied by a small amount of fluid，including 60 cases， 31.9%. ④The other part is not typical case only with the pelvic cavity accumulates liquid，including 8 cases，4.3%. Diagnosis coincidence rate was 97.3%. Conclusions：Transuaginal sonography combined with CDFI/CDE can obtain ectopic pregnancy in the early diagnosis accurately and quickly，that's the good means. VCI-C plane ultrasound imaging combined with 3D-Glassbody imaging mode have a large amount of information，increasing the contrast resolution and signal to noise ratio，and can provide more detailed information than 2D.

Key words: Ultrasonography, doppler, color, Imaging, three-dimensional, Pregnancy