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目的总结经阴道和经腹超声对异位妊娠的诊断体会。方法回顾性分析189例异位妊娠患者经阴道和经腹超声检查结果与手术探查结果对照。结果经阴道超声诊断出输卵管壶腹部妊娠153例,输卵管间质部妊娠15例,宫颈妊娠11例,卵巢妊娠5例,诊断正确率为97.4%;经腹超声诊断出输卵管壶腹部妊娠148例,输卵管间质部妊娠11例,宫颈妊娠9例,卵巢妊娠4例,诊断正确率为91.0%。结论经阴道超声对异位妊娠的诊断正确率高于经腹超声,对异位妊娠的诊断具有重要的临床价值。
Objective To summarize the experience of transvaginal and transabdominal ultrasonography in the diagnosis of ectopic pregnancy. Methods A retrospective analysis of 189 cases of ectopic pregnancy by transvaginal and transabdominal ultrasonography and surgical exploration results of the control. Results Transvaginal ultrasound diagnosis of ampulla of 153 cases of tubal pregnancy, tubal interstitial pregnancy in 15 cases, 11 cases of cervical pregnancy, ovarian pregnancy in 5 cases, the diagnostic accuracy was 97.4%; abdominal tubal ampulla of 148 cases of pregnancy, 11 cases of tubal interstitial pregnancy, 9 cases of cervical pregnancy, 4 cases of ovarian pregnancy, the diagnostic accuracy was 91.0%. Conclusion The diagnostic accuracy of transvaginal ultrasound in ectopic pregnancy is higher than that of transabdominal ultrasound, which has important clinical value in the diagnosis of ectopic pregnancy.