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目的探究经阴道超声与经腹部超声诊断异位妊娠的价值。方法 58例疑似异位妊娠患者,患者均实施经阴道超声与经腹部超声诊断,并将诊断结果与术后病理检查结果进行对比,研究对比经阴道超声和经腹部超声诊断异位妊娠的价值。结果经阴道超声对异位妊娠的诊断敏感性、特异性、准确性分别为98.04%(50/51)、85.71%(6/7)、96.55%(56/58);经腹部超声对异位妊娠的诊断敏感性、特异性、准确性分别为88.24%(45/51)、71.43%(5/7)、86.21%(50/58);经阴道超声诊断异位妊娠的准确性显著高于经腹部超声,差异具有统计学意义(P<0.05),但敏感性、特异性比较差异无统计学意义(P>0.05)。结论相比于经腹部超声,对异位妊娠患者采取经阴道超声进行诊断的准确率更高,误诊率及漏诊率更低。
Objective To explore the value of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of ectopic pregnancy. Methods Fifty-eight patients with suspected ectopic pregnancy were enrolled in this study. Transvaginal sonography and transabdominal ultrasonography were performed. The diagnostic results were compared with postoperative pathological findings. The value of transvaginal ultrasound and transabdominal ultrasonography in diagnosing ectopic pregnancy was compared. Results The sensitivity, specificity and accuracy of transvaginal ultrasound in the diagnosis of ectopic pregnancy were 98.04% (50/51), 85.71% (6/7) and 96.55% (56/58), respectively. The diagnostic sensitivity, specificity and accuracy of pregnancy were 88.24% (45/51), 71.43% (5/7) and 86.21% (50/58), respectively. The accuracy of transvaginal sonography in diagnosing ectopic pregnancy was significantly higher than that of transvaginal ultrasound Transabdominal ultrasound, the difference was statistically significant (P <0.05), but the sensitivity and specificity of the difference was not statistically significant (P> 0.05). Conclusion Compared with transabdominal ultrasound, the accuracy of transvaginal ultrasound in patients with ectopic pregnancy is higher, and the misdiagnosis rate and missed diagnosis rate are lower.