异位妊娠180例超声诊断分析（职称论文资料）.docVIP

异位妊娠180例超声诊断分析（职称论文资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：异位妊娠180例超声诊断分析 1 1资料与方法 2 文2：输尿管结石１８０例超声诊断分析 5 1　资料与方法 5 2　结果 6 3　讨论 6 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 9 正文 异位妊娠180例超声诊断分析（职称论文资料） 文1：异位妊娠180例超声诊断分析 Analysis on Ultrasonic Diagnosis of 180 Cases of Ectopic Pregnancy Liu Hongjun， Yuan Xinming， Zhu Lian 【Abstract】Objective： To further investigate the pathological base of the ectopic pregnancy and how to raise the clinical value of the ultrasound for the differential diagnosis of it. Methods： A total of 180 established or suspected by ultrasonic diagnosis were analyzed in our hospital. According to the characteristics of the ultrasonic sonogram the ectopic pregnancy was classified into four types. All of 180 subjects had detailed pre- and post-operative data and pathological findings. The etiology， pathology and clinical significance of the ectopic pregnancy were addressed. The leading causes of false-positive ectopic pregnancy were analyzed. Results： The preoperative accurate rate of the ultrasonica diagnosis for the ectopic pregnancy was 85%. Conclusion： Ultrasound possesses the slightly important value in diagnosing and differential diagnosing the ectopic pregnancy. The sonogram grouping of the ectopic pregnancy provides the major basis for the surgical protocol for it. The occurrence of the ectopic pregnancy is associated with the varying hypogastric operatio， intrauterine contraceptive device placement， administered duration of the drugs used for abortion and all-cause infectio. 【Key words】 Ectopic pregnancy； Ultrasonic diagnosis； Preoperative analysis 异位妊娠是孕产妇领域常见的急腹症，也是引起孕产妇死亡的主要原因之一[1]。本院于2006～2009年收治180例超声诊断异位妊娠患者，重点讨论异位妊娠超声术前分型对临床应用价值。 1资料与方法 临床资料：患者180例，年龄18～34岁，平均29岁。经产妇117例（其中产1胎84例，产2胎33例），非经产妇63例（孕4胎9例，孕3胎24例，孕2胎15例，孕1胎9例，未孕6例），均行手术及病理证实。 仪器及方法：SIEME 亚当型超声诊断仪，探头频率及SIGMA iris-440型彩色多普勒超声诊断仪，探头频率～。患者检查前需多饮水，膀胱充盈适中，减少腹内肠腔气体干扰。详细询问病史，有无口服流产药物，下腹部手术史，及上环史，取仰卧位，于下腹部耻骨联合上行多切面扫查。常规检查子宫大小、形态、位置、宫腔及内部回声，是否发现子宫增大，宫腔内是否空虚或有假胎囊，