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目的:分析宫外孕患者症状及不同超声检查方法诊断与临床确诊符合情况,为选择灵敏度高的超声检查手段提供依据。方法:选择2014年1月-2015年10月间在金华市妇幼保健院住院诊治的163例宫外孕患者,分别采取腹部超声检查和经阴道超声检查,就2种检查方法的检出率进行比较分析。结果:163例宫外孕患者,卵黄囊、宫内假孕囊、胎芽和胎心搏动等体征,腹部超声检查检出率明显低于经阴道超声和联合检查,比较差异均有统计学意义(P<0.05)。宫外孕包块≥3.0cm时,腹部超声检查检出率明显低于经阴道超声检查,差异有统计学意义(P<0.05)。结论:经阴道超声检查检出率明显高于腹部超声检查,可以提高临床诊断准确率,最大程度减少误诊及漏诊的发生可能性,从而确保妇女的身心健康,更值得临床的推广应用。
OBJECTIVE: To analyze the etiology of patients with ectopic pregnancy and the coincidence of the diagnosis and clinical diagnosis of different echocardiography methods, and to provide the basis for choosing the ultrasonographic method with high sensitivity. Methods: A total of 163 ectopic pregnancy patients admitted to Jinhua Maternal and Child Health Hospital from January 2014 to October 2015 were selected for abdominal echography and transvaginal ultrasonography respectively. The detection rates of the two methods were compared and analyzed . Results: The detection rate of abdominal echocardiography was significantly lower than that of transvaginal ultrasound and combined examination in 163 cases of ectopic pregnancy, yolk sac, intrauterine false pregnancy sac, fetal bud and fetal heart beat, the differences were statistically significant (P < 0.05). Ectopic pregnancy mass ≥ 3.0cm, the detection rate of abdominal ultrasound was significantly lower than transvaginal ultrasound, the difference was statistically significant (P <0.05). Conclusion: The detection rate of transvaginal ultrasound is significantly higher than that of abdominal ultrasound, which can improve the accuracy of clinical diagnosis, minimize the possibility of misdiagnosis and missed diagnosis, so as to ensure women ’s physical and mental health. It is more worthy of clinical application.