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目的:探讨经腹二维与经阴道彩色多普勒超声对未破裂型异位妊娠诊断效果及临床价值。方法:选择异位妊娠患者300例,根据选择超声方式的不同,将所有的患者分为经腹超声组和经阴道超声组,其中经腹超声组97例,经阴道超声组203例,比较两组患者经超声诊断效果。结果:经腹二维超声检查的结果检出附件包块59例,检出率为60.8%;经阴道彩色多普勒超声检查检出附件包块192例,检出率为94.6%,经阴道彩色多普勒超声的检出率显著高于经腹二维超声,差异有统计学意义(P<0.05)。除包块诊断方面优于经腹二维超声外,经阴道彩色多普勒在诊断小包块、胚芽、心管搏动、盆腔积液、宫内假孕囊均优于经腹二维超声的检查,差异均具有统计学意义(P<0.05)。结论:经阴道彩色多普勒超声诊断未破裂型异位妊娠效果优于经腹二维超声,有较好的临床应用价值。
Objective: To investigate the diagnostic value and clinical value of transabdominal two-dimensional and transvaginal color Doppler echocardiography in unruptured ectopic pregnancy. Methods: Three hundred patients with ectopic pregnancy were selected. All patients were divided into transabdominal ultrasound group and transvaginal ultrasound group according to the choice of ultrasound mode. Among them, 97 cases were transabdominal ultrasonography and 203 cases were transvaginal ultrasonography. Group of patients diagnosed by ultrasound. Results: The results of transabdominal two-dimensional ultrasonography showed that 59 cases of accessory mass were detected, the detection rate was 60.8%. 192 cases of accessory mass were detected by transvaginal color Doppler ultrasonography, the detection rate was 94.6% The detection rate of color Doppler ultrasound was significantly higher than transabdominal two-dimensional ultrasound, the difference was statistically significant (P <0.05). In addition to the diagnosis of mass superior to abdominal two-dimensional ultrasound, transvaginal color Doppler in the diagnosis of small masses, germ, cardiac beats, pelvic fluid, intrauterine pseudobags are superior to abdominal two-dimensional ultrasound examination , The differences were statistically significant (P <0.05). Conclusion: Transvaginal color Doppler ultrasound in the diagnosis of unruptured ectopic pregnancy is superior to transabdominal two-dimensional ultrasound, which has a good clinical value.