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目的:对比分析经腹部超声与经阴道超声诊断输卵管妊娠的声像图,以提高输卵管妊娠的早期诊断符合率。方法:对63例输卵管妊娠的患者进行经腹部超声和经阴道超声检查,对其声像图进行对比分析。结果:经腹部超声早期诊断输卵管妊娠36例,早期诊断符合率为57.14%;经阴道超声早期诊断输卵管妊娠60例,早期诊断符合率为95.24%。结论:经阴道超声对输卵管妊娠的早期诊断有一定优势,可以提高输卵管妊娠的早期诊断符合率,对于防止输卵管妊娠破裂有着重要的临床意义。但是也存在局限性,若经腹部超声与经阴道超声联合应用,可以获得更全面的超声诊断信息。
OBJECTIVE: To compare the sonography of transabdominal ultrasound and transvaginal sonography in the diagnosis of tubal pregnancy to improve the coincidence rate of early diagnosis of tubal pregnancy. Methods: 63 cases of tubal pregnancy by transabdominal ultrasound and transvaginal ultrasound, the sonographic comparison. Results: Early diagnosis of tubal pregnancy by abdominal ultrasound 36 cases, the early diagnosis coincidence rate was 57.14%; early diagnosis of tubal pregnancy by transvaginal ultrasound in 60 cases, the early diagnosis coincidence rate was 95.24%. Conclusion: Transvaginal ultrasound has certain advantages in the early diagnosis of tubal pregnancy, which can improve the coincidence rate of early diagnosis of tubal pregnancy and has important clinical significance for preventing rupture of tubal pregnancy. However, there are also limitations. If transabdominal ultrasound and transvaginal ultrasound are used in combination, more comprehensive diagnostic information can be obtained.