|
| (Ultrasonogram of tubal pregnancy: Unruptured or ruptured? |
|
| Hee Jung Lee, M.D., Jung Sik Kim, M.D., Sung Moon Lee, M.D., Hong Kim, M.D., Seong Ku Woo, M.D., Seong Do Yeun1, M.D.*, Doo Ryong Lee1, M.D.* |
|
| Department of Radiology, Obstetrics and Gynecology1 Keimyung University Schoool of Medicine |
|
| To evaluate the usefulness of ultrasonography in the differentiation of the unruptured ones, we performedprospective ultrasonographic study in 56 patients with tubal pregnancy and subsequently correlaied with thesurgical (45 cases) and laparoscopic (11 cases) findings. The criterion for unruptured tubal pregnancy was thevisualization of extrauterine gestational sac or a mass that was separated from the ipsilateral ovary. All caseswere confirmed surgically or laparoscopically within 48 hours after sonographic examination. Forty five (80%)cases were proved as unruptured, tubal pregnancy, while 11 (20%) as ruptured one. Extrauterine gestational sac wasseen in 31/45 (69%) in unruptured group and 2/11 (18%) in ruptured group. A mass separated from the ipsilateralovary was seen in 7 unruptured tubal pregnancies and 2 ruptured pregnancies. A mass that was not separated fromthe ipsilateral ovary was seen in 13 cases. Seven of these were ruptured pregnancies, while 6 were unrupturedones. Using our criteria, the unruptured tubal pregnancy was diagnosed with a sensitivity of 84%, a specificity of64%, an accuracy of 80%, a positive predictive value of 90% and a negative predictive value of 50%. We concludethat ultrasonography is useful in the differentiation of the unruptured tubal pregnancy from the ruptured one. |
|
| Keyword : Pregnancy,US |
|
|
|
|
> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1993 ; 12 (2) : p.202-207
