腹部彩超和经阴道彩超用于诊断异位妊娠的临床价值探析
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摘要
目的腹部彩超与经阴道彩超应用于异位妊娠的临床诊断价值。方法选取2015年1月—2017年8月收治于该院的132例异位妊娠患者作为研究对象,所有患者均经手术病理结果确诊为异位妊娠,根据术前彩超诊断方法分成腹部彩超组(66例)与阴道彩超组(66例),比较两组的诊断准确率。结果阴道超声组的诊断准确率为98.48%,显著高于腹部超声组的诊断准确率84.85%。此外阴道超声组对于胚芽组织、盆腔积液、附件包块以及假孕囊、卵黄囊的检出率分别为31.82%、92.42%、95.45%、13.64%、54.55%也均显著优于腹部超声组的15.15%、62.12%、72.73%、4.55%、31.82%,比较差异有统计学意义(P<0.05)。结论经阴道彩超对于异位妊娠的诊断准确率较高,可作为异位妊娠的首选超声诊断方式,值得推广。
Objective This paper tries to investigate the abdominal ultrasound and transvaginal ultrasound in ectopic pregnancy diagnosis. Methods 132 cases of ectopic pregnancy patients from January 2015 to August 2017 in this hospital were selected as the research objects, all patients were pathologically diagnosed as ectopic pregnancy, according to the method of ultrasound diagnosis before operation, they were divided into abdominal ultrasound group(66 cases) and transvaginal ultrasound group(66 cases), the diagnostic accuracy was compared between the two groups. Results The diagnostic accuracy of transvaginal ultrasound was 98.48%, significantly higher than that of the diagnosis accuracy rate of 84.85% in the abdominal ultrasound group. The vaginal ultrasound group of germs organization, pelvic cavity accumulates fluid, accessory bag piece, and false pregnant bursa, yolk sac detection rate were 31.82%, 92.42%, 95.45%,13.64%, 54.55%; significantly better than abdominal ultrasound group of 15.15%, 62.12%, 72.73%, 4.55%, 31.82%,with statistical significant difference(P<0.05). Conclusion Transvaginal Color Doppler ultrasound in the diagnosis of ectopic pregnancy has high accuracy, which can be used as the preferred way of ultrasound diagnosis of ectopic pregnancy, so it is worthy of promotion.
Objective This paper tries to investigate the abdominal ultrasound and transvaginal ultrasound in ectopic pregnancy diagnosis. Methods 132 cases of ectopic pregnancy patients from January 2015 to August 2017 in this hospital were selected as the research objects, all patients were pathologically diagnosed as ectopic pregnancy, according to the method of ultrasound diagnosis before operation, they were divided into abdominal ultrasound group(66 cases) and transvaginal ultrasound group(66 cases), the diagnostic accuracy was compared between the two groups. Results The diagnostic accuracy of transvaginal ultrasound was 98.48%, significantly higher than that of the diagnosis accuracy rate of 84.85% in the abdominal ultrasound group. The vaginal ultrasound group of germs organization, pelvic cavity accumulates fluid, accessory bag piece, and false pregnant bursa, yolk sac detection rate were 31.82%, 92.42%, 95.45%,13.64%, 54.55%; significantly better than abdominal ultrasound group of 15.15%, 62.12%, 72.73%, 4.55%, 31.82%,with statistical significant difference(P<0.05). Conclusion Transvaginal Color Doppler ultrasound in the diagnosis of ectopic pregnancy has high accuracy, which can be used as the preferred way of ultrasound diagnosis of ectopic pregnancy, so it is worthy of promotion.
引文
[1]胡凌云,张唯一,李立安,等.异位妊娠危险因素的临床调查[J].解放军医学杂志,2013,38(5):412-415.
[2]唐龙英,徐东英,倪倩,等.异位妊娠发病趋势和临床诊治分析[J].实用妇产科杂志,2012,28(9):789-792.
[3]陈德高.腹部B超与阴道B超在异位妊娠诊断中的价值比较[J].现代医用影像学,2017,26(3):607-608,618.
[4]陈瑞容.腹部B超与阴道B超在900例异位妊娠诊断中的比较[J].广东微量元素科学,2017,24(2):51-55.
[5]杨东汉.探析经腹彩超和经阴道超声诊断异位妊娠的临床价值[J].中国继续医学教育,2017,9(2):91-92.
[6]王宏春.经阴道彩超与经腹部超声用于早期异位妊娠的诊断研究[J].世界最新医学信息文摘,2016,16(80):61.
[7]王洋,李燚.探析用经腹彩超和经阴道超声诊断异位妊娠的临床价值[J].世界最新医学信息文摘,2015,15(32):185.
[8]鲁卫真.经阴道彩超检测子宫内膜厚度及阻力指数对异位妊娠的诊断价值[J].临床医学,2015,35(7):38-41.
[9]万梅.异位妊娠患者应用阴道彩超与腹部彩超检测的临床诊断价值对照[J].北方药学,2014,11(3):133.
[10]赵霞.阴道彩超与腹部彩超诊断异位妊娠的效果比较[J].当代医学,2015,21(6):102-103.
[2]唐龙英,徐东英,倪倩,等.异位妊娠发病趋势和临床诊治分析[J].实用妇产科杂志,2012,28(9):789-792.
[3]陈德高.腹部B超与阴道B超在异位妊娠诊断中的价值比较[J].现代医用影像学,2017,26(3):607-608,618.
[4]陈瑞容.腹部B超与阴道B超在900例异位妊娠诊断中的比较[J].广东微量元素科学,2017,24(2):51-55.
[5]杨东汉.探析经腹彩超和经阴道超声诊断异位妊娠的临床价值[J].中国继续医学教育,2017,9(2):91-92.
[6]王宏春.经阴道彩超与经腹部超声用于早期异位妊娠的诊断研究[J].世界最新医学信息文摘,2016,16(80):61.
[7]王洋,李燚.探析用经腹彩超和经阴道超声诊断异位妊娠的临床价值[J].世界最新医学信息文摘,2015,15(32):185.
[8]鲁卫真.经阴道彩超检测子宫内膜厚度及阻力指数对异位妊娠的诊断价值[J].临床医学,2015,35(7):38-41.
[9]万梅.异位妊娠患者应用阴道彩超与腹部彩超检测的临床诊断价值对照[J].北方药学,2014,11(3):133.
[10]赵霞.阴道彩超与腹部彩超诊断异位妊娠的效果比较[J].当代医学,2015,21(6):102-103.