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目的回顾性分析经腹部与经阴道彩色多普勒超声(彩超)在异位妊娠中的诊断价值。方法回顾性分析江西省上高县人民医院2015年1月—2016年10月收治的异位妊娠患者50例,患者均采用经腹部和经阴道彩超检查。比较两种检查方法的诊断结果、超声影像学表现检出情况(胎心、附件包块、卵黄囊、宫内假孕囊、胚芽、盆腔积液),统计两种方法对不同分型异位妊娠患者的检出情况。结果经阴道彩超检查诊断准确率高于经腹部彩超检查(P<0.05)。经阴道彩超检查胎心、附件包块、卵黄囊、宫内假孕囊、胚芽超声影像学表现检出率明显高于经腹部彩超检查(P<0.05);但两种检查方法盆腔积液检出率比较,差异无统计学意义(P>0.05)。经阴道彩超方法对未破裂型、破裂型、流产型检出率均高于经腹部彩超检查(P<0.05)。结论采用经阴道彩超对异位妊娠的临床诊断准确率较高,对分型诊断正确率及各项超声影像学表现检出率也较高,可作为诊断异位妊娠的首选检查。
Objective To retrospectively analyze the diagnostic value of transabdominal and transvaginal color Doppler ultrasonography (EUS) in ectopic pregnancy. Methods 50 patients with ectopic pregnancy admitted to Shanggao County People’s Hospital of Jiangxi Province from January 2015 to October 2016 were retrospectively analyzed. All patients were examined by transabdominal and transvaginal ultrasonography. The diagnostic results of the two methods were compared between the two methods for the detection of ultrasound imaging manifestations (fetal heart, annex mass, yolk sac, intrauterine pseudocyst, germ, pelvic fluid) Detection of pregnant patients. Results The diagnostic accuracy of transvaginal ultrasound was higher than that of abdominal ultrasonography (P <0.05). Transvaginal ultrasound examination of fetal heart, annex mass, yolk sac, intrauterine pseudo- gestage sac, embryo ultrasound imaging detection rate was significantly higher than that by abdominal ultrasonography (P <0.05); but two examination methods pelvic fluid test Rate of comparison, the difference was not statistically significant (P> 0.05). The detection rate of unruptured, ruptured and abortion by transvaginal ultrasound was higher than that by abdominal ultrasonography (P <0.05). Conclusion The clinical diagnosis of ectopic pregnancy by transvaginal color Doppler ultrasonography has a higher diagnostic accuracy, and the correct rate of typing diagnosis and the higher detection rate of ultrasound imaging can be used as the first choice for diagnosis of ectopic pregnancy.