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目的:探讨阴道超声在妇科急症异位妊娠诊断中的应用效果。方法:对2014年12月-2016年12月我院收治的40例异位妊娠患者采用阴道超声和腹部超声检查法,比较两种诊断方法的准确率,并与腹腔镜病理确诊结果相比较。结果:腹腔镜检查结果表明,异位妊娠包块未破裂者为34例,所占比例为85.0%;已破裂者为15例,所占比例为15.0%。宫角妊娠、卵巢妊娠和残角子宫妊娠各1例。阴道超声诊断符合率为95.0%,腹部超声诊断符合率为77.5%,前者显著高于后者(P<0.05),具有统计学差异。结论 :经阴道彩色多普勒超声检查能通过子宫回声准确反映子宫内部详细情况,能有效诊断妇科急症异位妊娠。
Objective: To explore the application of vaginal ultrasound in the diagnosis of gynecological emergency ectopic pregnancy. Methods: 40 cases of ectopic pregnancy treated in our hospital from December 2014 to December 2016 were examined by vaginal ultrasonography and abdominal ultrasonography. The accuracy of the two diagnostic methods was compared with that of laparoscopic diagnosis. Results: The results of laparoscopy showed that ectopic pregnancy mass was not ruptured in 34 cases, accounting for 85.0%; ruptured 15 cases, accounting for 15.0%. Palace angle pregnancy, ovarian pregnancy and residual angle uterus pregnancy in 1 case. Vaginal ultrasound diagnosis coincidence rate was 95.0%, abdominal ultrasound diagnosis coincidence rate was 77.5%, the former was significantly higher than the latter (P <0.05), with a statistically significant difference. Conclusion: Transvaginal color Doppler ultrasonography can accurately reflect the internal uterus through the uterus echo, which can effectively diagnose gynecological emergency ectopic pregnancy.