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《Chinese Journal of Medical Imaging Technology》 2011-01
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Transvaginal color Doppler imaging in differential diagnosis of lutein cyst and ectopic pregnancy:Analysis of 100 cases

HU Ting,XIA Fei,WANG Juan(Department of Ultrsonogrphy of Obstetrics and Gynecology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)  
Objective To assess the value of transvaginal color Doppler ultrasonography in differential diagnosis of pregnant lutein cyst and ectopic pregancy.Methods Fifty patients with ectopic pregnancy and other 50 early pregnant with ovarian lutein cyst were enrolled.The size and nutrient flow spectrum included pulsatility index(PI),resistance index(RI) and S/D were measured in patients with ectopic mass and lutein cyst,which were verified by post-operative pathology.Results The size of ectopic mass was uncertain,and the size of ovarian lutein cyst was(17.28±2.70)mm×(15.18±3.15)mm×(17.06±3.79)mm.The pregnant lutein cysts were divided into three types according to sonographic appearances as hypoechoic solid,cyst with thickened wall,cyst with thin wall and internal echoes.The sonographic appearances of ectopic pregnancy were divided into unruptured ectopic pregancy and ruptured ectopic pregancy.PI,RI and S/D in lutein cyst were lower than those in ectopic pregnancy(P0.05).Doppler flow spectrum of ectopic pregnancy appeared different shapes,and showed single direction in lucein cyst.Conclusion Transvaginal color Doppler ultrasonography has important clinical value in differentiating ovarian lutein cyst from ectopic pregancy.
【CateGory Index】: R445.1
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