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目的:以天柱妇幼保健院90例未破裂异位妊娠为例,总结基层医院经阴道超声诊断未破裂异位妊娠的经验,探讨经阴道超声诊断未破裂异位妊娠的价值,提高诊断符合率。方法:统计我院2009年1月至2013年5月间收治的90例未破裂异位妊娠的患者,患者均来自于天柱县地区,回顾性分析其声像图特征及临床资料。结果:90例未破裂异位妊娠患者,经阴道超声确诊的有85例,漏诊3例,误诊2例,诊断符合率为94.4%。结论:经阴道超声诊断未破裂异位妊娠,诊断的符合率高,具有较大的临床应用价值,值得在基层医院推广此项超声诊断。
OBJECTIVE: To investigate 90 cases of unruptured ectopic pregnancy in Tianzhu MCH hospital, and to summarize the experience of transvaginal ultrasonography in the diagnosis of unruptured ectopic pregnancy in primary hospitals, to explore the value of transvaginal ultrasonography in the diagnosis of unruptured ectopic pregnancy and to improve the diagnostic coincidence rate . Methods: Totally 90 patients with unruptured ectopic pregnancy treated in our hospital from January 2009 to May 2013 were collected from Tianzhu County. The characteristics and clinical data of the patients were retrospectively analyzed. Results: Of the 90 patients with unruptured ectopic pregnancy, 85 were diagnosed by transvaginal sonography, 3 were missed, and 2 were misdiagnosed. The diagnostic coincidence rate was 94.4%. Conclusion: Transvaginal ultrasonography to diagnose unruptured ectopic pregnancy has a high coincidence rate and great clinical value. It is worth to promote this ultrasound diagnosis in primary hospitals.