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目的探究在异位妊娠诊断中采用经阴道B超与腹部B超的临床效果及价值。方法收集我院自2012年3月~12月我院就诊的经手术及病理检验确诊异位妊娠的患者120例,平均分为观察组和对照组,观察组采用经阴道B超诊断,对照组采用腹部B超诊断方法经行诊断,观察两组异位妊娠各类以及例数、漏诊率、符合率和误诊率等指标。结果经阴道B超检查阳性确认率为96.7%,漏诊1例,概率为1.7%,误诊1例,概率为1.7%。经腹部B超检查的阳性确诊率为85.0%,漏诊3例,概率为5.0%,误诊6例,概率为10.0%,两组检查结果存在显著性差异(P<0.05)。结论通过两组对比可以得知,异位妊娠的诊断中,经阴道B超比腹部B超确认率高,且漏诊率及误诊率低,快速、安全、疼痛少、阳性率高,值得临床推广应用。
Objective To investigate the clinical effect and value of transvaginal ultrasound and abdominal ultrasound in the diagnosis of ectopic pregnancy. Methods 120 cases of ectopic pregnancy diagnosed by operation and pathology in our hospital from March to December 2012 were collected and divided into observation group and control group on average. The observation group was diagnosed by transvaginal ultrasonography and the control group Diagnostic methods of abdominal B-ultrasound were used to diagnose the types of ectopic pregnancy, the number of cases, the rate of missed diagnosis, the coincidence rate and the rate of misdiagnosis. Results The positive rate of transvaginal ultrasonography was 96.7%. One case was misdiagnosed, with a probability of 1.7%. One case was misdiagnosed with a probability of 1.7%. The positive diagnosis rate of abdominal ultrasonography was 85.0%, 3 cases missed, the probability was 5.0%, and 6 cases were misdiagnosed with a probability of 10.0%. There was significant difference between the two groups (P <0.05). Conclusion According to the comparison of two groups, in the diagnosis of ectopic pregnancy, the rate of transvaginal B-ultrasound is higher than that of the abdomen, and the rate of misdiagnosis and missed diagnosis is low, fast, safe, less pain and high positive rate, which is worthy of clinical promotion application.