| 摘要: |
| ［摘要］ 目的 探讨经腹部超声与经阴道超声在异位妊娠中的诊断价值。方法 选择2004-09～2012-03在该院和外院经手术和病理证实为异位妊娠的85例患者分别进行腹部超声检查和阴道超声检查，并对两种方法检查结果进行分析比较。结果 85例异位妊娠中，破裂流产型62例，未破裂型23例。经腹部超声检出80例，检出率为94.1%，其中破裂流产型62例，检出率为100%；未破裂型18例,检出率为78%。经阴道超声检出82例，检出率为96.5%，其中诊断破裂流产型59例，检出率为96%，未破裂型23例,检出率为100%。两种检查方法检出率比较差异均无统计学意义（P均>0.05）。经腹部和经阴道超声联合应用诊断异位妊娠85例，超声诊断符合率达100%。结论 经腹部超声诊断破裂流产型异位妊娠占优势,经阴道超声诊断未破裂型异位妊娠占优势。经腹部和经阴道超声联合运用，能取长补短，明显提高异位妊娠的检出率，具有较高的临床应用价值。 |
| 关键词: 经腹部超声 经阴道超声 异位妊娠 |
| DOI：10.3969/j.issn.1674-3806.2012.07.15 |
| 分类号:R 445.1 |
| 基金项目: |
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| Comparative analysis of transabdominal and transvaginal ultrasonography in diagnosing ectopic pregnancy |
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HUANG Ling
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Liuzhou Red Cross Hospital, Guangxi 545001, China
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| Abstract: |
| ［Abstract］ Objective To investigate the diagnostic value of transabdominal and transvaginal color doppler ultrasonography in diagnosing ectopic pregnancy. Methods Eighty-five cases with ectopic pregnancy confirmed by surgery and pathology between September 2004 and March 2012 in the hospital and outside hospital were examined by transabdominal color doppler ultrasonography(TAS) and transvaginal color doppler ultrasonography(TVS), and the contrast analysis were carried out on the inspection result.Results Two methods combined with history and blood or urine human chorionic gonadotrophin (HCG) showed the ruptured ectopic pregnancy in 62 cases and unruptured ectopic pregnancy in 23 cases. The ruptured ectopic pregnancy was diagnosed by TAS in 62 cases(100%) and by TVS in 59 cases (96%);the unruptured ectopic pregnancy was diagnosed by TAS in 18 cases(78%) and by TVS in 23 cases(100%), the positive coincidence rate of combined use of TAS and TVS was 100%. Statistical analysis of the two methods showed no significant difference （P>0.05）.Conclusion TAS is more sensitive in the diagnosis of ruptured ectopic pregnancy. TVS is more sensitive in the diagnosis of early unruptured ectopic pregnancy. Combined TAS and TVS can improve accuracy in diagnosing ectopic pregnancy with high clinical value. |
| Key words: Transabdominal ultrasonography Transvaginal ultrasonography Ectopic pregnancy |
