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首页> 外文期刊>European radiology >Endovaginal color Doppler sonographic evaluation of ectopic pregnancy in women after in vitro fertilization and embryo transfer.
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Endovaginal color Doppler sonographic evaluation of ectopic pregnancy in women after in vitro fertilization and embryo transfer.

机译：体外受精和胚胎移植后妇女异位妊娠的阴道彩色多普勒超声检查。

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摘要

The aim of this study was to evaluate the value of endovaginal color Doppler ultrasonography in the early diagnosis of ectopic pregnancy in women after in vitro fertilization and embryo transfer, and to correlate the sonographic findings with ss-hCG serum levels. Thirty-five patients had proven ectopic pregnancies and 4 other patients had heterotopic pregnancies. The diagnosis was disclosed correctly in all cases by endovaginal color Doppler US by identifying an adnexal mass with placental flow and a nongravid uterus called a "cold uterus". An intrauterine sac with "double ring sign" was found in all normal intrauterine pregnancies when the hCG levels exceeded 1000 IU/l but in none of the patients with ectopic pregnancy (EP). These findings suggest the efficacy of the discriminatory hCG serum level of 1000 IU/l in the investigation of EP. In conclusion, this study describes the diagnostic importance of transvaginal color Doppler US in correlation with hCG serum levels in the early detection of EP avoiding life-threatening complications and improving patient outcome.
机译：这项研究的目的是评估在体外受精和胚胎移植后，阴道彩色多普勒超声对女性异位妊娠的早期诊断价值，并将超声检查结果与ss-hCG血清水平相关联。 35名患者已证实异位妊娠，另外4名患者异位妊娠。在所有情况下，通过识别具有胎盘血流的附件包块和称为“冷子宫”的非重度子宫，可以通过阴道彩色多普勒超声正确地揭示诊断。当hCG水平超过1000 IU / l时，在所有正常的子宫内妊娠中都发现了一个带有“双环征”的子宫内囊，但在异位妊娠（EP）患者中均未发现。这些发现表明，在EP研究中，区分性hCG血清水平为1000 IU / l是有效的。总之，本研究描述了经阴道彩色多普勒超声与hCG血清水平相关的诊断重要性，可早期发现EP避免危及生命的并发症并改善患者预后。

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