经阴道彩超联合腹部超声在异位妊娠中的诊治价值

摘要

目的：研究异位妊娠诊治中应用经阴道超声联合经腹部超声检查的临床价值。方法我院选择2015年2月～2016年2月诊治的180例异位妊娠患者，年龄17～48岁，平均为（25.8±2.3）岁；病程1～13 h，平均为（3.6±0.6）h，将其均分为两组，对照组90例患者实施经腹部超声检查，观察组90例患者在腹部超声检查基础上实施经阴道超声检查，比较两组患者诊断准确率。结果通过比较，两组患者附件区包块检出率方面差异无统计学意义（P＞0.05）；但观察组患者宫内假孕囊、异位妊娠包块组成以及盆腔积液诊断阳性率高于对照组，两组差异有统计学意义（P＜0.05）。结论异位妊娠虽然通过腹部超声也能做出诊断，但依然具有一定的局限性，若条件允许，应联合阴道超声检查，有助于提升临床诊断率，以免出现漏诊及误诊情况。%Objective To study the clinical value of transvaginal ultrasound combined with abdominal ultrasonography in the diagnosis and treatment of ectopic pregnancy.Methods In our hospital from February 2015 to February 2016 in the diagnosis and treatment of 180 cases of patients with ectopic pregnancy, aged between 17~48 years old, the average (25.8±2.3) years old, in the course of 1~13 h, the average (3.6±0.6), which were divided into two groups, the control group of 90 patients with abdominal ultrasonography. The observation group of 90 patients in abdominal ultrasound based on transvaginal ultrasound, the accuracy rate of diagnosis were compared between the two groups.Results By comparison, two groups of patients with adnexal masses detection rate showed no significant difference, no statistical signiifcance (P>0.05), but the patients in the observation group were intrauterine gestational sac, ectopic pregnancy mass and pelvic effusion diagnosis positive rate was higher than the control group, there was signiifcant difference between two groups (P<0.05). Conclusion Although ectopic pregnancy by abdominal ultrasound can make the diagnosis, but still has some limitations, if conditions permit, should be combined with vaginal ultrasound examination, help to improve the accuracy of clinical diagnosis, to avoid misdiagnosis and misdiagnosis.