Ultrasonographic Analysis of 84 Cases with Ectopic Pregnancy

LI Rui; ZHANG Yan-hong; DU fei

doi:10.3969/j.issn.1002-3429.2015.06.020

Abstract：Objective To summarize the ultrasound expression of ectopic pregnancy and improve ultrasound diagno-sis. Methods The ultrasound expressions of 84 patients with ectopic pregnancy were analyzed retrospectively and its features of ultrasonography were summarized. Results 69 cases (82. 1%) visited for menopause and abdominal pain and 15 cases (17. 9%) for abdominal pain or slight pain. hCG of urine in 79 cases ( 94. 0%) was positive. Ultrasonographic results showed:among 84 cases with ectopic pregnancy, uteruses of 51 cases (60. 7%) were slightly large. Gestational sacs were not found in 80 cases (95. 2 %). "False gestational sacs" were found in 3 cases (3. 6 %). The gestational sac was found in u-terine cavity of the patient who was pregnant in the uterus and oviduct at the same time. The lumps were found outside uterine cavity in 75 cases (89. 3%). 5 cases were missed. All the patients of this group underwent surgical treatment and diagnosis was confirmed by pathological examination. Among them were 79 cases of tubal pregnancy (47 patients underwent resection of the fallopian tube, 32 routine pregnancy tissue removal) , 2 cases of palace angle of pregnancy, 1 case of cervical pregnancy ( in ultrasound guided downward qing dynasty palace) , 1 case of abdominal pregnancy ( pregnancy mass resection) , 1 case of uterus residual angular pregnancy ( uterus residual angular resection) . All the patients recovered. Conclusion There are dif-ferent ultrasonographic characteristics in different types of ectopic pregnancy. It is helpful to improve the diagnostic accuracy rate, to reduce the missed diagnosis and misdiagnosis rates with analysis of the case history, clinical manifestations and labora-tory examination results.