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目的探讨经腹超声(TAS)及经阴道超声(TVS)诊断异位妊娠的价值。方法选取2013年1月至2016年3月经手术及病理证实符合诊断标准的异位妊娠患者168例,年龄17~46岁,中位年龄27岁。168例患者均行TAS与TVS检查,宫内未见明确孕囊时,查看附件区有无包块(实性或混合性包块)、Donut征、胎芽、原始心管搏动、盆腔积液、子宫内假孕囊。比较TAS与TVS声像图指标及诊断评估指标。结果 TAS检查的符合率为70.24%,经阴道超声检查符合率为93.45%,两者比较差异有统计学意义(P<0.05)。结论 TVS诊断异位妊娠方便、快捷,拟诊异位妊娠者应首选TVS检查,以便提高诊断率和治愈率。
Objective To investigate the value of transabdominal ultrasonography (TAS) and transvaginal sonography (TVS) in the diagnosis of ectopic pregnancy. Methods A total of 168 patients with ectopic pregnancy confirmed by surgery and pathology between January 2013 and March 2016 were enrolled in this study. The age ranged from 17 to 46 years with a median age of 27 years. 168 patients underwent TAS and TVS examination, uterine no clear gestational sac, see the attachment zone with or without mass (solid or mixed masses), Donut sign, fetal buds, the original cardiac pacing, pelvic fluid, Intrauterine pseudo-gestational sac. Compare the TAS and TVS sonographic indicators and diagnostic evaluation indicators. Results The coincidence rate of TAS examination was 70.24%, and the coincidence rate of transvaginal ultrasound examination was 93.45%. There was significant difference between them (P <0.05). Conclusion TVS diagnosis of ectopic pregnancy convenient and quick, eutopic pregnancy should be the first choice for TVS examination in order to improve the diagnostic rate and cure rate.