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目的探讨宫外孕的超声诊断方法,分析腹部超声和阴道超声诊断宫外孕的准确性。方法应用彩色多普勒超声,经腹壁、阴道超声诊断为宫外孕94例,对检查的有关资料进行回顾性分析,比较其经腹部和阴道超声的诊断符合率。结果超声诊断宫外孕94例患者,经手术及病理证实为宫外孕86例,其中经腹部超声检查诊断宫外孕42例,经手术及病理证实为宫外孕37例,3例为附件炎性包块,2例为卵巢黄体囊肿,诊断符合率为88.1%;经阴道超声检查诊断宫外孕52例,经手术及病理证实为宫外孕49例,1例为巧克力囊肿破裂,1例是输卵管周围炎症粘连,1例为右侧卵巢发育期卵泡,诊断符合率为94.2%。两者差异有统计学意义(p<0.01)。结论彩色多普勒超声诊断宫外孕是一种重要的首选检查方法。经阴道超声检查比经腹部超声检查分辨力高,对宫外孕能作出较快速、准确的诊断,可为临床医生诊断、及时选择合适的治疗方案提供更可靠的依据。
Objective To investigate the echocardiographic diagnosis of ectopic pregnancy and analyze the diagnostic accuracy of ectopic pregnancy and abdominal ultrasonography. Methods Color Doppler ultrasound was used to diagnose 94 cases of ectopic pregnancy by abdominal wall and vaginal ultrasound. The data of the examination were retrospectively analyzed. The coincidence rate of transabdominal and vaginal ultrasound was compared. Results Echocardiography was performed in 94 patients with ectopic pregnancy. Echocardiography was confirmed 86 cases by echocardiography and pathology. Forty-two ectopic pregnancies were diagnosed by abdominal ultrasonography. 37 cases were proved ectopic by operation and pathology, 3 were inflammatory mass, 2 were Ovarian corpus luteum cysts, the diagnostic coincidence rate was 88.1%; transvaginal ultrasound diagnosis of ectopic pregnancy in 52 cases confirmed by surgery and pathology in 49 cases of ectopic pregnancy, 1 case of chocolate cyst rupture, 1 case of tubal inflammatory adhesions, 1 case of right Ovarian follicles during development, the diagnostic coincidence rate was 94.2%. The difference was statistically significant (p <0.01). Conclusion The diagnosis of ectopic pregnancy by color Doppler ultrasound is an important and preferred method of examination. Transvaginal ultrasonography than trans-abdominal ultrasound examination of high resolution of ectopic pregnancy can make a more rapid and accurate diagnosis of clinicians can diagnose the timely selection of appropriate treatment programs to provide a more reliable basis.