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目的:探究早期不典型宫外孕者实施经阴道B超诊断的临床价值。方法:对55例不典型宫外孕者分别实施经腹B超检查和经阴B超检查,比较两种方式的附件包块、假孕囊、心血管搏动、胚芽和盆腔积液的检出情况以及宫外孕检出率和误诊率。结果:经阴B超检出率为98.18%,误诊率为1.82%;经腹B超检出率为67.72%,误诊率为32.73%。和经腹B超相比,经阴B超检出率显著较高,P<0.05.和经腹B超相比,经阴B超各项指标检出人数上显著较高,P<0.05.结论:对于早期不典型宫外孕者,实施经阴B超诊断的价值远比经腹B超检查价值高。
Objective: To explore the clinical value of transvaginal ultrasonography in the diagnosis of early atypical ectopic pregnancy. Methods: Fifty-five cases of atypical ectopic pregnancy were examined by transabdominal ultrasonography and transvaginal ultrasound respectively. The detection of accessory mass, pseudocyst, cardiovascular pulse, germ and pelvic effusion in two groups were compared Ectopic pregnancy detection rate and misdiagnosis rate. Results: The detection rate of transurethral B-ultrasound was 98.18%, the misdiagnosis rate was 1.82%. The transabdominal B-ultrasound detection rate was 67.72%, the misdiagnosis rate was 32.73%. Compared with transabdominal B-ultrasound, the detection rate of B-ultrasound was significantly higher, P <0.05.Compared with transabdominal B-ultrasound, the detection rate of B-ultrasound was significantly higher (P <0.05). Conclusions: For those with atypical ectopic pregnancy, the value of transvaginal ultrasonography is far more valuable than transabdominal ultrasonography.