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目的:探讨经阴道超声(TVS)检查在异位妊娠(EP)诊断中的临床应用价值。方法:将2011年7月~2013年4月收治并经手术与病理检查证实的193例异位妊娠(EP)患者临床经阴道超声(TVS)诊断资料进行回顾性分析。结果:经阴道超声检查诊断异位妊娠188例,与手术病理结果比较符合率97.4%,漏诊3例,误诊2例,漏误诊率2.59%。经腹部超声检查诊断异位妊娠163例,与手术病理结果比较符合率为84.5%,漏诊22例,误诊8例,漏误诊率15.5%。TVS诊断方法符合率明显高于TAS诊断方法,差异具有显著性(P<0.05);TVS诊断未破裂型77例(97.5%),破裂型58例(86.6%),流产型18例(85.7%),与手术病理结果比较符合率91.6%。TAS诊断未破裂型61例(77.2%),破裂型51例(76.1%),流产型14例(66.7%),与手术病理结果比较符合率75.4%,2种超声诊断方法符合率比较,差异具有统计学意义(P<0.05)。结论:通过与手术病理检查结果比较,对于异位妊娠(EP)诊断经阴道超声(TVS)较经腹超声(TAS)检查准确性高,且图像清晰、直观可作为早期异位妊娠诊断的首选方法。
Objective: To investigate the value of transvaginal sonography (TVS) in the diagnosis of ectopic pregnancy (EP). Methods: The clinical data of 193 cases of ectopic pregnancy (EP) confirmed by operation and pathology from July 2011 to April 2013 were retrospectively analyzed. Results: 188 cases of ectopic pregnancy were diagnosed by transvaginal ultrasonography. The coincidence rate was 97.4% with the result of operation and pathology, 3 cases missed diagnosis and 2 cases misdiagnosis. The misdiagnosis rate was 2.59%. The diagnosis of ectopic pregnancy by abdominal ultrasound in 163 cases, with the surgical pathology results in line with the rate was 84.5%, missed diagnosis in 22 cases, misdiagnosed in 8 cases, miss misdiagnosis rate of 15.5%. TVS diagnostic accuracy rate was significantly higher than the TAS diagnostic method, the difference was significant (P <0.05); TVS diagnosis unruptured type 77 cases (97.5%), rupture type 58 cases (86.6%), miscarriage type 18 cases (85.7% ), With the surgical pathology results in line with the rate of 91.6%. TAS diagnosis of unruptured type 61 cases (77.2%), rupture type 51 cases (76.1%), miscarriage type 14 cases (66.7%), and the surgical pathology results in line with the rate of 75.4%, two kinds of ultrasonic diagnostic method coincidence rate, the difference Statistically significant (P <0.05). Conclusion: Compared with the results of pathological examination, transvaginal ultrasonography (TVS) diagnosis of ectopic pregnancy is more accurate than transabdominal ultrasonography (TAS), and the image is clear and intuitive, which can be used as the first choice for the diagnosis of early ectopic pregnancy method.