经阴道实时三维超声造影评价宫外孕保守性治疗后输卵管通畅性的临床价值

doi:10.19739/j.cnki.issn1001-9510.2019.05.010

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Abstract Objective To evaluate the clinical value of transvaginal four-dimensional ultrasonography in the evaluation of ectopic pregnancy after drug treatment and conservative surgery for tubal patency. Methods 120 cases of patients with ectopic pregnancy were divided into conservative treatment (drug group), laparotomy conservative surgery (laparotomy group) and laparoscopic conservative surgery (laparoscopic group), each group of 40 cases, effect of transvaginal four-dimensional ultrasound fallopian tube imaging evaluation of ectopic pregnancy treatment of fallopian tube patency. Results The operative time of laparoscopic group was significantly lower than the laparotomy group operation time, the laparoscopic group of intraoperative bleeding was significantly lower than the laparotomy group operation time. The exhaust time and hospital stay in laparoscopic group were lower than that in control group, and there was no significant difference between the two groups. After treatment, there was a significant difference in the number of days between the laparoscopic group, the open group and the drug group, the initial blood beta -HCG level, and the number of HCG decreased to normal. Tubal patency rate of laparoscopic group was 92.5%, which was better than that of open group and 70% of tubal patency rate, and 65%. Conclusion Compared with conservative treatment and conservative surgery, laparoscopic conservative surgery in the treatment of tubal pregnancy tubal function recovery is faster. The evaluation of fallopian tube patency by transvaginal four-dimensional fallopian tube ultrasound has the advantages of simple operation and no invasive, which is worth popularizing.

Key words： four-dimensional ultrasonography ectopic pregnancy conservative treatment conservative surgery tubal patency

Received: 14 May 2019

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R323.3

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	Articles by authors
	TANG Liwei
	SUN Fang
	LIU Xiaona
	GAO Yanbing
	DONG Jingyun
	YANG Zhi
	LIU Can

Cite this article:

TANG Liwei,SUN Fang,LIU Xiaona, et al. Evaluation of the clinical value of transvaginal real-time three-dimensional ultrasound in the conservative treatment of ectopic pregnancy[J]. 滨州医学院学报, 2019, 42(5): 353-356.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2019.05.010 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2019/V42/I5/353

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