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目的:探讨阴道彩超在异位妊娠诊断中的应用价值。方法:回顾性分析本院2012年1月至2015年7月临床收治的218例异位妊娠患者,术前分别进行腹部及阴道彩色多普勒超声检查,131例经术后病理证实,87例经保守治疗临床随访证实。按超声测量病灶大小进行分组,将两组检查结果进行对比性分析。结果:218例异位妊娠患者中,输卵管妊娠196例,卵巢妊娠12例,宫角妊娠10例。124例经腹部彩色多普勒超声检查,诊断102例,符合率82.3%;94例经阴道彩色多普勒超声检查,诊断90例,符合率95.7%;经阴道彩色多普勒超声检查符合率明显高于经腹部彩色多普勒超声检查,差异具有统计学意义(P<0.05),且阴道彩色多普勒超声对较小病灶诊断符合率显著高于经腹彩色多普勒超声(P<0.05)。结论:经阴道彩色多普勒超声检查异位妊娠具有较高的准确性,尤其是对较小病灶的诊断优于腹部彩色多普勒超声检查。
Objective: To explore the value of vaginal ultrasound in the diagnosis of ectopic pregnancy. Methods: 218 cases of ectopic pregnancy admitted to our hospital from January 2012 to July 2015 were retrospectively analyzed. Abdominal and vaginal color Doppler echocardiography was performed before operation. 131 cases were confirmed by pathology and 87 cases After conservative treatment of clinical follow-up confirmed. According to the size of ultrasound lesions were grouped, the two groups of test results for comparative analysis. Results: 218 cases of ectopic pregnancy, tubal pregnancy in 196 cases, 12 cases of ovarian pregnancy, 10 cases of uterine horn pregnancy. 124 cases of abdominal color Doppler ultrasound examination, 102 cases were diagnosed, the coincidence rate of 82.3%; 94 cases of transvaginal color Doppler ultrasound examination, 90 cases were diagnosed, the coincidence rate was 95.7%; transvaginal color Doppler ultrasound examination coincidence rate (P <0.05), and the coincidence rate of vaginal color Doppler ultrasound in the diagnosis of smaller lesions was significantly higher than that of transabdominal color Doppler ultrasound (P < 0.05). Conclusion: Transvaginal color Doppler ultrasound examination of ectopic pregnancy with high accuracy, especially for the diagnosis of smaller lesions better than the abdominal color Doppler ultrasound.