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目的探讨异位妊娠诊断中阴道B型超声与腹部B型超声联合应用的价值。方法选取2016年2月至2017年2月营口仁爱医院收治的经病理检查确诊的异位妊娠患者90例为研究对象,分别实施单纯腹部B型超声检查、单纯阴道B型超声检查和联合检查,比较3组患者的诊断准确度。结果联合检查的诊断准确度明显高于单纯腹部与单纯阴道B型超声检查,且单纯腹部B型超声检查的诊断准确度低于单纯阴道B型超声检查;联合检查的漏诊率和误诊率均低于单纯腹部与单纯阴道B型超声检查,差异有统计学意义(P<0.05),但单纯腹部与单纯阴道B型超声检查的漏诊率、误诊率无明显差异(P>0.05)。联合检查附件包块、假妊娠囊、胚芽、胎心管搏动、盆腔积液检出率均高于单纯腹部与单纯阴道B型超声检查,单纯阴道B型超声检查假妊娠囊、胚芽、胎心管搏动、盆腔积液检出率高于单纯腹部B型超声检查,差异有统计学意义(P<0.05)。单纯腹部与单纯阴道B型超声检查附件包块检出率差异无统计学意义(P>0.05)。结论在异位妊娠的诊断过程中,阴道B型超声与腹部B型超声检查单独应用均有较高的应用价值,但联合应用具有更高的诊断准确度,值得进行深入研究和推广。
Objective To investigate the value of combined application of vaginal ultrasound and abdominal ultrasound in the diagnosis of ectopic pregnancy. Methods Totally 90 ectopic pregnancy patients diagnosed by Yingkou Renai Hospital from February 2016 to February 2017 were enrolled in this study. The simple abdominal B-mode ultrasonography, simple vaginal B- The diagnostic accuracy of the three groups was compared. Results The diagnostic accuracy of joint examination was significantly higher than that of simple abdominal and simple vaginal B-mode ultrasound, and the diagnostic accuracy of simple abdominal B-mode ultrasonography was lower than that of simple vaginal B-mode ultrasonography. The misdiagnosis rate and misdiagnosis rate of combined examination were low There was no significant difference in the rate of misdiagnosis and misdiagnosis (P> 0.05) between simple abdomen and simple vaginal B ultrasound examination (P <0.05). Joint examination of the annex mass, pseudocyst, germ, fetal heart rate beating, pelvic effusion were higher than the rate of detection of simple abdominal and simple vaginal ultrasound B, simple vaginal ultrasound B ultrasound pregnancy sac, embryo, fetal heart rate Tube beating, pelvic effusion detection rate was higher than simple abdominal B-mode ultrasound, the difference was statistically significant (P <0.05). There was no significant difference in the detection rate between simple abdominal and simple vaginal B ultrasound examination (P> 0.05). Conclusion In the diagnosis of ectopic pregnancy, vaginal B-mode ultrasound and abdominal B-mode ultrasound alone have a higher value, but combined with higher diagnostic accuracy, it is worth further study and promotion.