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目的研究比较经腹和经阴道彩色多普勒超声检查诊断早期宫外孕的效果和特点,以进一步提高诊断的准确性。方法选择2008年1月至2012年1月我院收治的经手术和术后病理明确诊断为宫外孕的140例患者,回顾分析其经腹超声检查和经阴道超声检查的资料,比较两种方式检查的声像图表现阳性率和结果的准确率。结果经腹超声检查附件包块、胚芽、假孕囊、心管搏动和盆腔积液的声像图表现阳性率分别为78.57%、4.29%、6.43%、2.86%、60.71%,经阴道超声检查附件包块、胚芽、假孕囊、心管搏动和盆腔积液的声像图表现阳性率分别为97.14%、21.43%、22.85%、12.14%、89.29%,经阴道超声检查组声像图表现阳性率明显高于经腹超声检查组,各项比较均差异具有统计学意义(P<0.05);经腹超声检查组的确诊阳性100例、误诊40例,阳性确诊率为71.43%,经阴道超声检查组的确诊阳性134例、误诊6例,阳性确诊率为95.71%,两组比较具有统计学差异(P<0.05)。结论经阴道彩色多普勒超声检查诊断宫外孕准确度优于经腹彩色多普勒超声检查,值得广泛的推广使用。
Objective To compare the efficacy and characteristics of transabdominal and transvaginal color Doppler ultrasonography in the diagnosis of early ectopic pregnancy to further improve the diagnostic accuracy. Methods From January 2008 to January 2012 in our hospital after surgery and postoperative pathology diagnosed as ectopic pregnancy in 140 patients, retrospective analysis of its abdominal transvaginal ultrasound and transvaginal ultrasound data, compared with two ways to check The sonography showed the positive rate and the accuracy of the results. Results The positive rate of transabdominal ultrasonography was 78.57%, 4.29%, 6.43%, 2.86% and 60.71%, respectively. The transvaginal ultrasonography The positivity rates of accessory mass, germ, pseudocyst, cardiac pacing and pelvic effusion were 97.14%, 21.43%, 22.85%, 12.14%, 89.29% respectively. The transvaginal ultrasonography The positive rate was significantly higher than the transabdominal ultrasonography group, the differences were statistically significant (P <0.05); the transabdominal ultrasonography group was 100 cases of positive diagnosis, 40 cases were misdiagnosed, the positive diagnosis rate was 71.43% 134 cases diagnosed positive in ultrasound group, 6 cases were misdiagnosed, the positive diagnosis rate was 95.71%. There was significant difference between the two groups (P <0.05). Conclusion The accuracy of transvaginal color Doppler ultrasonography diagnosis of ectopic pregnancy is better than that of transabdominal color Doppler ultrasonography, which is worthy of wide application.