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目的:对异位妊娠患者应用腹腔镜诊断的效果进行相关评价分析。方法:对收入该院的患者598例进行临床症状体征、β-绒毛膜促性腺激素(β-HCG)以及超声定位综合分析后进行腹腔镜探查诊断异位妊娠,同时设置对照组,研究对象为随机抽取的未行腹腔镜下探查而仅进行临床症状体征、β-绒毛膜促性腺激素(β-HCG)、孕酮、阴道超声检查的患者598例的诊断情况,并经对所有患者进行临床诊断后治疗、病理学检查和治疗后的随访综合分析最终确定实际异位妊娠人数,对结果进行统计分析,得到结果。结果:腹腔镜诊断的假阳性率、假阴性率分别为0.23%、0.63%,即对应的特异度和灵敏度为99.77%、99.37%(对比对照组和研究组的相关分析指标可见采用腹腔镜下诊断异位妊娠患者的诊断特异度(0.9977)、阴性预测值(0.9977)、准确度(99.67%)、尤登指数(0.3623)比对照组可观(P<0.05)。结论:应用腹腔镜对异位妊娠的诊断的假阳性率、假阴性率低,灵敏度和特异度高,应作为异位妊娠的最终选择诊断方法。
Objective: To evaluate the effect of laparoscopic diagnosis in patients with ectopic pregnancy. Methods: 598 cases of patients receiving income from the hospital were diagnosed as ectopic pregnancy by laparoscopy after comprehensive analysis of clinical symptoms and signs, β-HCG and ultrasound localization. At the same time, the control group was set up as Randomly selected without laparoscopic exploration and only the clinical signs and symptoms, β-chorionic gonadotropin (β-HCG), progesterone, vaginal ultrasound in patients with 598 cases of diagnosis, and all patients by clinical Post-diagnosis treatment, pathological examination and treatment follow-up comprehensive analysis of the final determination of the actual number of ectopic pregnancy, the results of statistical analysis, the results. Results: The false-positive rate and false-negative rate of laparoscopic diagnosis were 0.23% and 0.63%, respectively, corresponding to the specificity and sensitivity of 99.77% and 99.37% (comparative analysis of the control group and the study group can be seen using laparoscopic The diagnostic specificity (0.9977), negative predictive value (0.9977), accuracy (99.67%) and Youden index (0.3623) in the diagnosis of ectopic pregnancy were significantly higher than those in the control group (P0.05) .Conclusion: Pregnancy diagnosis of false positive rate, false negative rate, high sensitivity and specificity should be used as the final choice of ectopic pregnancy diagnosis.