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目的:本研究通过对经腹部与经阴道彩色多普勒超声诊断早期宫外孕正确率的比较,探讨经阴道彩色多普勒超声在早期宫外孕诊断中的临床价值。方法:回顾分析该院2013年1月至2015年1月两年期间经临床确诊的236例宫外孕患者的彩色多普勒超声结果,比较彩色多普勒超声两种检查方法的差异。结果:经腹部彩色多普勒超声检查的临床诊断正确率为83.05%,经阴道彩色多普勒超声检查的临床诊断正确率为96.61%,经阴道彩色多普勒超声检查的临床诊断正确率明显高于经腹部彩色多普勒超声检查(χ2=23.748 4,P=0.000)。经阴道彩色多普勒超声检查的各种典型宫外孕超声影像学表现(胚芽、盆腔积液、原始心血管搏动、附件包块、子宫内假孕囊)检出率均显著高于经腹部彩色多普勒超声检查(P<0.05)。结论:经阴道彩色多普勒超声是早期诊断宫外孕的有效方法,对早期宫外孕的诊断具有重要的临床价值及意义。
Objective: In this study, the diagnostic accuracy of transvaginal color Doppler ultrasonography for early ectopic pregnancy was compared between transvaginal color Doppler ultrasonography and early ectopic pregnancy. Methods: The results of color Doppler echocardiography in 236 patients with clinically diagnosed ectopic pregnancy from January 2013 to January 2015 in our hospital were retrospectively analyzed. The differences between the two methods of color Doppler ultrasonography were compared. Results: The diagnostic accuracy of trans-abdominal color Doppler ultrasonography was 83.05%. The accuracy of transvaginal color Doppler ultrasonography was 96.61%. The diagnostic accuracy of transvaginal color Doppler ultrasonography was significantly higher Higher than transabdominal color Doppler ultrasound (χ2 = 23.748 4, P = 0.000). Transvaginal color Doppler ultrasound examination of various typical ectopic pregnancy ultrasound imaging findings (germ, pelvic fluid, the original cardiovascular beats, annex mass, intrauterine false pregnancy sac) were significantly higher than the color of the abdomen Puff ultrasound (P <0.05). Conclusion: Transvaginal color Doppler ultrasonography is an effective method for early diagnosis of ectopic pregnancy. It has important clinical value and significance for the diagnosis of early ectopic pregnancy.