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目的:探究阴道彩超对宫角妊娠的诊断价值,为宫角妊娠的临床诊断提出有效方法。方法:对我院2010年4月~2013年4月收治的80例初诊宫角妊娠患者进行回顾性分析,对比其经腹彩超和经阴道彩超的的诊断结果与术后病理确诊差异。结果:阴道彩超下宫角妊娠共分三种表现,包括胚囊型、包块型和破裂型;阴道彩超显示,所有初诊宫角妊娠患者均可见孕囊与子宫内膜相连,其肌层厚度在7.5~11.3 mm间,平均(10.5±1.7)mm;二次检查中,经腹超声确诊59例宫角妊娠,经阴道超声确诊51例,病理诊断共确诊宫角妊娠48例。经腹超声诊断准确率为81.4%,明显低于经阴道超声的94.1%,两组数据对比存在显著统计学差异。经腹超声两次检查符合率为73.8%,显著低于经阴道超声的96.2%,两组数据对比存在显著统计学差异。结论:阴道彩超较经腹彩超对宫角妊娠具有更高的诊断准确率,通过图像判断,能够有效对宫角妊娠、输卵管间质部妊娠进行有效鉴别诊断,可作为指导临床早期干预方案、制定跟踪随访措施的关键依据。
Objective: To investigate the diagnostic value of vaginal ultrasound on uterine horn pregnancy, and to propose an effective method for the clinical diagnosis of uterine horn pregnancy. Methods: 80 cases of newly diagnosed uterine hormones in our hospital from April 2010 to April 2013 were retrospectively analyzed. The diagnostic results of transabdominal ultrasonography and transvaginal ultrasonography were compared with the postoperative pathological diagnosis. Results: The vaginal color Doppler ultrasound pregnancy was divided into three manifestations, including embryo sac, mass and rupture; vaginal color Doppler ultrasound showed that all newly diagnosed dystocia gestational sacs were connected with the endometrium, and its muscle thickness In the second test, 59 cases of uterine horn pregnancy were diagnosed by trans-ultrasonography and 51 cases were diagnosed by transvaginal ultrasonography. Forty-eight cases of uterine horn pregnancy were confirmed by pathological diagnosis. The diagnostic accuracy of transabdominal sonography was 81.4%, which was significantly lower than that of transvaginal ultrasound (94.1%). There was significant statistical difference between the two groups. The coincidence rate of transabdominal ultrasound twice was 73.8%, significantly lower than that of transvaginal ultrasound 96.2%, there was a significant statistical difference between the two groups. Conclusion: Vaginal ultrasound has better diagnostic accuracy than abdominal ultrasound in the diagnosis of uterine horn pregnancy. Through image judgment, it can effectively differentiate uterine horn pregnancy and tubal pregnancy, which can be used as guidance for early clinical intervention program Follow-up measures follow the key basis.