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目的:通过实验对比探究腹部彩超与阴道彩超在临床宫外孕诊断中的价值差异,为今后指导临床宫外孕诊断提供科学依据。方法:随机选取2012年1月至2014年12月期间该院接收的100例经过手术病理证实的宫外孕病人作为研究对象,随机分为实验组和对照组,各50例,对上述两组研究对象分别采用两种不同的多普勒超声诊断法,实验组中使用阴道彩超进行诊断而对照组中则采用腹部彩超进行诊断,对诊断时间及诊断准确率进行对比分析。结果:本次研究发现采用阴道彩超检测的病人有47名与手术病理诊断相符合,检出率为94%(47/50)明显高于采用腹部彩超检测的检出率[72%(36/50),P<0.05];同时对两种多普勒超声诊断法诊断时间进行比较,阴道彩超的诊断平均时间为停经31 d,而腹部彩超则为43d,且具有显著差异(P<0.05)。结论:采用阴道彩超对宫外孕病人诊断结果更加准确并且诊断更为及时,这对于临床宫外孕病人的诊断与治疗具有重要意义,为今后指导临床诊断提供科学依据。
Objective: To compare the value of abdominal ultrasonography and vaginal ultrasonography in the diagnosis of clinical ectopic pregnancy through experimental comparison, and to provide a scientific basis for the future diagnosis of clinical ectopic pregnancy. Methods: A total of 100 cases of ectopic pregnancy who were confirmed by surgery and pathology in our hospital from January 2012 to December 2014 were randomly selected as experimental group and control group, 50 cases in each group. The above two groups Two different Doppler ultrasound diagnostic methods were used respectively. The experimental group was diagnosed by vaginal ultrasound and the control group by abdominal ultrasonography. The diagnostic time and diagnostic accuracy were compared. Results: In this study, 47 patients who underwent vaginal color Doppler ultrasound examination were consistent with the pathological diagnosis. The detection rate was 94% (47/50), which was significantly higher than that detected by abdominal ultrasonography [72% (36 / 50), P <0.05]. At the same time, the diagnostic time of two kinds of Doppler ultrasonography was compared. The average time of diagnosis of vaginal ultrasound was 31 days after menopause, while the abdominal color Doppler was 43 days, with significant difference (P <0.05) . Conclusion: The diagnosis of ectopic pregnancy by vaginal ultrasound is more accurate and the diagnosis is more timely, which is of great significance for the diagnosis and treatment of patients with clinical ectopic pregnancy, providing a scientific basis for the future clinical diagnosis.