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目的:探讨经腹与经阴道彩色多普勒超声诊断早期异位妊娠的临床效果。方法:选取2013年11月至2015年11月在广州市第一人民医院(南沙中心医院)就诊的早期异位妊娠的患者90例,分别应用经腹与经阴道彩色多普勒超声检查,对比分析两种检查方式的异位妊娠诊断的准确率、误诊率、漏诊率及异位妊娠的具体情况。结果:腹部彩色多普勒超声检查异位妊娠的准确率70.00%,明显低于阴道彩色多普勒超声检查的93.33%,组间比较,差异具有统计学意义(P<0.05);阴道彩色多普勒超声的胚芽、附件包块、盆腔积液、宫内假孕囊、卵黄囊及原始血管搏动的阳性检出率均明显高于腹部彩色多普勒超声检查,组间比较,差异具有统计学意义(P<0.05);阴道彩色多普勒超声检查的异位妊娠的误诊率为5.56%、漏诊率为6.67%,均明显低于腹部彩色多普勒超声的20.00%、23.33%,组间比较,差异具有统计学意义(P<0.05)。结论:阴道彩色多普勒超声对早期异位妊娠的诊断灵敏度明显高于腹部彩色多普勒超声检测,可将早期异位妊娠的检测准确率明显提高,降低临床误诊及漏诊的几率,对于早发现、早诊疗异位妊娠具有重要的指导意义。
Objective: To investigate the clinical effect of transabdominal and transvaginal color Doppler ultrasound in the diagnosis of early ectopic pregnancy. Methods: Ninety patients with early ectopic pregnancy in Guangzhou First People’s Hospital (Nansha Central Hospital) from November 2013 to November 2015 were enrolled in this study. The transabdominal and transvaginal color Doppler echocardiography The diagnostic accuracy, misdiagnosis rate, misdiagnosis rate and ectopic pregnancy of the two methods were analyzed. Results: The accuracy of abdomen color Doppler ultrasonography in ectopic pregnancy was 70.00%, which was significantly lower than that of vaginal color Doppler ultrasonography in 93.33%. The difference was statistically significant (P <0.05). The color of vagina The positive rate of detection of the pulsation, accessory mass, pelvic fluid, intrauterine false sac, yolk sac and primitive blood vessel pulsation in the group of Doppler ultrasound were significantly higher than those of the abdominal color Doppler sonography. The difference was statistically significant (P0.05). The misdiagnosis rate of vaginal color Doppler ultrasound in ectopic pregnancy was 5.56% and the rate of misdiagnosis was 6.67%, which were significantly lower than that of abdominal color Doppler ultrasound in 20.00% and 23.33%, respectively Between the two groups, the difference was statistically significant (P <0.05). Conclusion: The diagnostic sensitivity of vaginal color Doppler ultrasound in early ectopic pregnancy is significantly higher than that of abdominal color Doppler ultrasound, which can significantly improve the detection accuracy of early ectopic pregnancy and reduce the risk of misdiagnosis and missed diagnosis. Found that early diagnosis and treatment of ectopic pregnancy has an important guiding significance.