Application and evaluation of ultrasound critical value in ruptured tubal pregnancy
10.3760/cma.j.cn131148-20210803-00523
- VernacularTitle:输卵管妊娠破裂超声危急值的应用评估
- Author:
Xiaoyan ZHANG
1
;
Yang GUI
;
Zhenzhen LIU
;
Jianchu LI
;
Qingli ZHU
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院超声医学科，北京 100730
- Keywords:
Ultrasonography;
Critical value;
Ectopic pregnancy;
Ruptured tubal pregnancy
- From:
Chinese Journal of Ultrasonography
2022;31(2):140-144
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the diagnosis and critical value reporting of ruptured tubal pregnancy by ultrasound.Methods:The clinical and ultrasound data of 70 patients with ruptured tubal pregnancy diagnosed by surgery in Peking Union Medical College Hospital from August 2017 to May 2021 were retrospectively analyzed to evaluate the diagnosis and critical value reporting of ruptured tubal pregnancy by ultrasound.Results:Among the 70 patients, 68 patients underwent gynecological ultrasonography and two patients did not. Sixty-three cases (92.6%, 63/68) were accurately diagnosed as adnexal ectopic pregnancy mass, abdominal and pelvic effusion/blood clot, and 5 adnexal ectopic pregnancy masses (7.4%, 5/68) were missed.Among the 5 missed cases, 4 cases (80%, 4/5) were heterotopic pregnancy (2 cases of IVF-ET 2 embryos, 1 case of patient taking ovulation induction drugs, 1 case of gravida with twin family history) and 1 case (20%, 1/5) of single tubal pregnancy. Critical values were reported in the all 63 cases of ruptured tubal pregnancy diagnosed by preoperative ultrasound.Conclusions:Ultrasound could accurately diagnose tubal pregnancy and assess its rupture, and timely report the critical value, effectively guarantee the medical safety. The particularity and complexity of ultrasound diagnosis in early pregnancy with assisted reproductive technique deserve more attention.
