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目的通过研究观察阴道B超与腹部B超应用于诊断异位妊娠的临床价值,并进行对比分析。方法随机收集2015年5月至2016年5月到医院就诊的30例异位妊娠患者作为研究对象,并将30例患者随机分为阴道B超组和腹部B超组两组,每组分别为15例异位妊娠患者。在对患者进行手术前,对于阴道B超组的患者采用阴道B超检查,对于腹部B超组的患者进行腹部B超检查,通过检查分析统计患者的病情及手术方案,在手术后将两种检查方法的检查结果和患者的手术病理结果进行对比分析,比较阴道B超与腹部B超检查应用于诊断异位妊娠的正确率和价值体现。结果通过对比研究发现,在两组患者分别经过阴道B超和腹部B超检查诊断及手术病理分析后,我们发现阴道B超组的患者通过阴道B超检查诊断结果与手术病理相符合的有14例,符合率为96%,而腹部B超组的患者通过腹部B超检查诊断结果与手术病理相符合的有11例,符合率为84%,阴道B超组患者的诊断结果符合率明显高于腹部B超组,差异具有统计学意义(P<0.05)。结论根据此次研究的对比分析结果表明,在异位妊娠的临床诊断中,阴道B超检查的诊断结果的准确度比腹部B超检查的诊断结果来得高,而且阴道B超检查的操作更加安全方便,临床价值更高,值得大力推广应用。
Objective To observe the clinical value of transvaginal ultrasonography and abdominal B-ultrasound in the diagnosis of ectopic pregnancy and to conduct comparative analysis. Methods Thirty ectopic pregnancy patients who were admitted to the hospital from May 2015 to May 2016 were randomly divided into two groups: the vaginal B-mode ultrasound group and the abdominal B-mode ultrasound group. The patients in each group were 15 cases of ectopic pregnancy. Vaginal B-ultrasound was performed on patients with vaginal B-mode ultrasound before surgery on the patients. Abdominal B-ultrasound was performed on patients with B-mode ultrasound in the abdomen. By examining and analyzing the patient’s condition and surgical plan, two Check the results of the test results and the pathological results of patients were compared, the vaginal B- and abdominal B-ultrasound diagnosis of ectopic pregnancy, the correct rate and value embodied. Results The comparative study found that after the two groups of patients were diagnosed by B-mode ultrasound and abdominal ultrasonography and pathological analysis respectively, we found that the diagnosis of vaginal B- For example, the coincidence rate was 96%. The diagnosis of abdominal B-ultrasound group was consistent with the surgical pathology in 11 cases. The coincidence rate was 84%. The coincidence rate of the diagnosis results of vaginal B- Abdominal B-group, the difference was statistically significant (P <0.05). Conclusions Based on the comparative analysis of this study, the diagnostic accuracy of vaginal B-ultrasound was higher than that of B-ultrasound in the clinical diagnosis of ectopic pregnancy, and vaginal B-ultrasound was safer Convenient, higher clinical value, it is worth to vigorously promote the application.