摘要
目的:探讨经腹部超声及经阴道超声联合使用在宫外孕诊断方面的应用价值。方法:收集2012年6月-2015年8月均经本院手术病理证实为宫外孕的185例患者为研究对象,所有患者均进行经阴道超声及经腹部超声检查,比较经腹部超声、经阴道超声及两种诊断方法联合使用的诊断正确率及附件区包块、卵黄囊、胎芽和胎心、盆腔积液检出率。结果:联合应用的诊断准确率明显高于经阴道超声及经腹部超声,经阴道超声的诊断准确率明显高于经腹部超声,差异均有统计学意义(P<0.05)。联合应用的附件区包块、卵黄囊、胎芽和胎心、盆腔积液检出率明显高于经阴道超声及经腹部超声,差异均有统计学意义(P<0.05);经阴道超声附件区包块、卵黄囊、胎芽和胎心的检出率明显高于经腹部超声,差异有统计学意义(P<0.05)。结论:经腹部超声和经阴道超声两种检查方法联合应用能显著提高宫外孕患者的诊断正确率,效果明显优于单独应用经阴道超声或经腹部超声的检查结果,可在临床推广应用。
Objective：To investigate the application value of transvaginal ultrasound combined with abdominal ultrasound in diagnosis of ectopic pregnancy.Method：185 patients with ectopic pregnancy in our hospital were selected from June 2012 to August 2015,they were ectopic pregnancy.All patients underwent transvaginal ultrasound and abdominal ultrasound,the diagnostic accuracy and the detection rate of the attachment area mass, yolk sac, fetal bud and fetal heart and pelvic effusion of three methods were compared.Result： The diagnostic accuracy rate of two diagnostic methods combined was significantly higher than the transvaginal ultrasound and abdominal ultrasound, the diagnostic accuracy rate of the transvaginal ultrasound was significantly higher than abdominal ultrasound, the differences were statistically significant（P〈0.05）. The detection rate of the attachment area mass, yolk sac, fetal bud and fetal heart and pelvic effusion in the combined application were significantly higher than that of transvaginal ultrasound and abdominal ultrasound,the differences were statistically significant（P〈0.05）. The detection rate of attachment area mass,yolk sac,fetal bud and fetal heart in transvaginal ultrasound were significantly higher than that of abdominal ultrasound, the differences were statistically significant（P〈0.05）.Conclusion：The abdominal ultrasound combined with transvaginal ultrasound can significantly improve the diagnostic accuracy in patients with ectopic pregnancy,better than alone transvaginal ultrasound or abdominal ultrasound examination result,it is worth in clinical application.
出处
《中国医学创新》
CAS
2015年第31期130-131,共2页
Medical Innovation of China
基金
国家医学教育发展中心课题项目(2011-052-04-13)
关键词
宫外孕
经阴道超声
经腹部超声
Ectopic pregnancy
Transvaginal ultrasound
Abdominal ultrasound
