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目的探讨经腹(TAS)与经阴道超声(TVS)诊断宫外孕的应用价值。方法选取2014年2月至2016年2月于北京市丰台区铁营医院就诊且经手术病理证实为宫外孕患者共56例,所有患者行TAS及TVS检查,对比检查结果。结果 1患者现峡部及壶腹部妊娠48例,宫角妊娠4例,卵巢妊娠3例,宫颈妊娠1例;未破裂型14例,破裂流产型42例;2除盆腔积液外,TVS、TAS+TVS附件区包块、卵黄囊、胎芽、胎心等检出率及诊断准确率明显高于TAS,组间对比差异明显,有统计意义(P<0.05);3包块直径在1.5~2.0cm及<1.5cm时,TVS、TAS+TVS检出率明显高于TAS(P<0.05)。结论临床行宫外孕检测时采用TAS及TVS联合诊断可有效提升诊断准确率及检出率,临床检测效果确切,值得推广。
Objective To investigate the value of transabdominal (TAS) and transvaginal sonography (TVS) in the diagnosis of ectopic pregnancy. Methods A total of 56 patients with ectopic pregnancy confirmed by operation and pathology from Tie 2014 Hospital of Fengtai District, Beijing from February 2014 to February 2016 were selected. TAS and TVS were performed in all patients and the results were compared. Results 1 patients were isthmus and ampulla of 48 cases of pregnancy, uterine horn pregnancy in 4 cases, 3 cases of ovarian pregnancy, cervical pregnancy in 1 case; unruptured 14 cases, 42 cases of ruptured abortion; 2 pelvic effusion, TVS, TAS + TVS attachment block, yolk sac, fetal bud, fetal heart rate and diagnostic accuracy was significantly higher than the TAS, significant differences between the groups were statistically significant (P <0.05); 3 mass diameter of 1.5 to 2.0 cm and <1.5 cm, the detection rates of TVS, TAS + TVS were significantly higher than those of TAS (P <0.05). Conclusion The clinical diagnosis of ectopic pregnancy using TAS and TVS combined diagnosis can effectively improve the diagnostic accuracy and detection rate, the clinical detection effect is exact, it is worth promoting.