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目的:探讨阴道超声联合腹部B超在宫外孕诊断中的应用价值。方法:选取紫金县妇幼保健院2014年1月至2016年10月宫外孕病例作为研究对象,患者例数80例,首先对患者进行腹部超声检查,然后再进行阴道超声检查,观察腹部B超、阴道B超和二者联合诊断的结果。结果:经阴道超声确诊宫外孕病例72例,诊断符合率为90%,误诊10例,误诊率10%;经腹部超声确诊宫外孕病例64例,诊断符合率为80%,误诊16例,误诊率20%;经阴道超声检查准确率比腹部超声明显更高,漏诊误诊率明显更低,二者比较,差异存在统计学意义(P<0.05);联合超声检查准确率比经阴道B超、腹部超声单检更高,漏诊误诊率明显更低,数据比较,差异具有统计学意义(P<0.05)。结论:腹部超声和经阴道超声都能够准确检查宫外孕,但是存在漏诊情况。与腹部超声比较,经阴道超声诊断宫外孕检查准确率更高;与单独经腹部超声检查、经阴道超声检查比较,联合检查对宫外孕具有更高的诊断准确率。
Objective: To investigate the value of vaginal ultrasonography combined with abdominal ultrasound in the diagnosis of ectopic pregnancy. Methods: Zijin County MCH hospital from January 2014 to October 2016 cases of ectopic pregnancy as the research object, the number of patients in 80 cases, first of all patients with abdominal ultrasound examination, and then carried out vaginal ultrasound examination, abdominal B ultrasound, vaginal B ultrasound and the results of both the diagnosis. Results: 72 cases of ectopic pregnancy diagnosed by transvaginal sonography, the diagnostic coincidence rate was 90%, misdiagnosis in 10 cases, the misdiagnosis rate was 10%. The ultrasonographic diagnosis of ectopic pregnancy in 64 cases, the diagnostic coincidence rate was 80%, misdiagnosis in 16 cases, the misdiagnosis rate was 20 %. The accuracy of transvaginal ultrasonography was significantly higher than that of abdominal ultrasonography and the misdiagnosis rate of missed diagnosis was significantly lower (P <0.05). The accuracy of combined ultrasonography was better than that of transvaginal ultrasonography, abdominal ultrasonography Single examination was higher, misdiagnosis rate of missed diagnosis was significantly lower, the data were compared, the difference was statistically significant (P <0.05). Conclusion: Abdominal ultrasound and transvaginal ultrasound can accurately detect ectopic pregnancy, but there is a misdiagnosis. Compared with abdominal ultrasound, transvaginal ultrasound diagnosis of ectopic pregnancy higher accuracy; and alone by the abdominal ultrasound examination, transvaginal ultrasound examination, the combined examination of ectopic pregnancy with a higher diagnostic accuracy.