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目的:分析经腹超声、经阴道超声对早期异位妊娠诊断结果,探讨经腹超声联合经阴道超声在检查异位妊娠中的应用价值;方法:回顾性分析经病理确诊的56例异位妊娠患者临床声像学资料,观察三种超声检查的阳性诊断、附件包块、盆腔积液、假孕囊检出率;结果:56例患者中,经腹超声阳性检出率78.57%(44/56),经阴道超声阳性检出率92.86%(52/56),经腹联合经阴道超声检出纺98.21%(55/56);经阴道超声、经腹联合经阴道超声附件包块、假孕囊、胚芽、盆腔积液检出率明显高于经腹超声(P<0.05)。结论:经阴道超声对于异位妊娠的检查效果明显好于经腹超声,经腹联合经阴道超声能有效提高早期异位妊娠的诊断率。
OBJECTIVE: To analyze the diagnostic value of transabdominal ultrasonography and transvaginal ultrasound in early ectopic pregnancy and to explore the value of transabdominal ultrasonography combined with transvaginal sonography in the detection of ectopic pregnancy. Methods: Retrospective analysis of 56 ectopic pregnancies According to the clinical imaging data of patients, the positive diagnosis of three kinds of ultrasonography, accessory mass, pelvic fluid and the rate of false pregnancy were observed. Results: Among the 56 patients, the positive rate of transabdominal ultrasonography was 78.57% (44 / 56). The positive rate of transvaginal ultrasonography was 92.86% (52/56) and 98.21% (55/56) by transvaginal ultrasonography. Transvaginal ultrasound, transabdominal ultrasonography, The detection rate of gestational sac, germ and pelvic fluid was significantly higher than that of transabdominal sonography (P <0.05). Conclusion: Transvaginal sonography is more effective than transabdominal sonography in detecting ectopic pregnancy. Transabdominal transvaginal sonography can effectively improve the diagnosis rate of early ectopic pregnancy.