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目的:探讨两种不同方式彩超检查诊断患者早期异位妊娠的应用意义。方法:选取2012年1月至2013年12月间本院临床诊断为异位妊娠且住院后经手术以及病理学确诊的83例患者,回顾性分析其入院后采用两种不同方式(经腹部和经阴道)的彩超检测获得的影像学的资料,统计两种彩超方式来诊断出早期异位妊娠的准确率。结果:经腹部彩超检测出异位妊娠的准确率达61.4%;经阴道彩超检测出异位妊娠的准确率达94.0%,两组比较差异有统计学意义(P<0.05);经阴道彩超检测出附件包块、胚芽、宫内假孕囊、盆腔积液、原始胎儿心血管搏动、卵黄囊等影像学的阳性率,各项均大于经腹部彩超,且差异有统计学意义(P<0.05)。结论:早期异位妊娠采用经阴道彩超方式检测获得的影像学阳性率和准确率高于经腹部彩超,推为对早期的异位妊娠进行诊断的超声影像学首选。
Objective: To explore the application of two different ways of color Doppler ultrasound examination in patients with early ectopic pregnancy. Methods: From January 2012 to December 2013, 83 patients with clinically diagnosed as ectopic pregnancy in our hospital and confirmed by surgery and pathology after hospitalization were retrospectively analyzed. Two different methods were adopted after admission (transabdominal and Transvaginal) color Doppler ultrasound imaging obtained information, statistical methods of two color Doppler ultrasound to diagnose the accuracy of early ectopic pregnancy. Results: The accuracy rate of ectopic pregnancy detected by abdominal ultrasonography was 61.4%. The accuracy of ectopic pregnancy detected by vaginal color Doppler was 94.0%. There was significant difference between the two groups (P <0.05) The positive rate of imaging such as mass, accessory capsule, germ, intrauterine false pregnancy sac, pelvic effusion, primary fetal cardiovascular beats and yolk sac were all greater than that of transabdominal color Doppler ultrasound, and the difference was statistically significant (P <0.05 ). Conclusion: The positive rate and accuracy of imaging examination by transvaginal color Doppler ultrasonography in early ectopic pregnancy is higher than that of transabdominal color Doppler ultrasound, which is the first choice of ultrasound imaging for the diagnosis of early ectopic pregnancy.