摘要
目的探讨腹部超声与阴道超声在诊断早期异位妊娠的临床应用效果。方法选取驻马店市中心医院2012年5月至2014年5月收治的早期异位妊娠患者120例，其中腹部彩超检查组65例，阴道彩超检查组55例，对其临床资料进行回顾性分析，对比两组患者的检查阳性确诊率。结果120例患者均通过术后病理确诊为异位妊娠，其中输卵管妊娠101例，卵巢妊娠12例，宫角妊娠7例。腹部超声检查组诊断率为92．31％，误诊5例炎性包块3例，黄体囊肿2例）；阴道超声检查组诊断率为98．18％，误诊1例（黄体囊肿），阴道彩超组明显高于腹部彩超组，差异有统计学意义（P〈0．05）。结论异位妊娠临床诊断应用中，阴道超声相对于腹部超声具有更高的阳性确诊率，可推广应用。
Objective To investigate the clinical effect of abdominal ultrasound and transvaginal ultrasound on the diagnosis of early ectopic pregnancy. Methods One hundred and twenty patients with early ectopic pregnancy in the central hospital of Zhumadian from May 2012 to May 2014 were selected, including 65 cases of abdominal ultrasonography and 55 cases of vaginal ultrasonography. Their clinical data were retrospectively analyzed and the positive rate of diagnosis was compared. Results All the patients were diagnosed as pathological ectopic pregnancy, including 101 cases of tubal pregnancy, 12 ea- ses of ovarian pregnancy, 7 cases of uterine horn pregnancy. Abdominal ultrasound diagnosis rate of pa- tients was 92.31%, five cases were misdiagnosed as inflammatory mass （three cases） and luteal cysts （two cases）. Transvaginal ultrasound diagnosis rate of patients was 98.18% , 1 case was misdiagnosed as corpus luteum cyst. The diagnasis rate of vaginal ultrasound group was significantly higher than that in abdominal ultrasonography group, and the difference was statistically significant （ P 〈 0.05 ）. Conclusions Compared to the abdominal ultrasound, transvaginal ultrasound in diagnosis of ectopic pregnancy has higher rate of positive diagnosis, and can be widely applied.
出处
《中国实用医刊》
2015年第9期24-25,共2页
Chinese Journal of Practical Medicine
关键词
阴道超声
腹部超声
早期异位妊娠
Transvaginal ultrasound
Abdominal ultrasound
Early ectopic pregnancy
