经阴道彩超联合腹部超声在异位妊娠中的诊治分析  

Examination of Transvaginal Color Doppler Sonography Combined with Abdominal Ultrasound on the Diagnosis and Treatment of Ectopic Pregnancy

作　　者：焦健 宋艳 邹淑丽 孟玫 毕晓静 孙红[2] 

机构地区：[1]武警山东省总队医院,山东济南250014 [2]哈尔滨医科大学,黑龙江哈尔滨150081

出　　处：《现代生物医学进展》2014年第6期1101-1103,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81100163)

摘　　要：目的:与经阴道彩超检查相比较探讨经阴道彩超联合腹部超声检查在异位妊娠中的诊治价值。方法:选取我院2009年3月至2012年12月之间诊治的136例疑为异位妊娠患者,其中70例经阴道彩超联合腹部超声诊断,66例经阴道彩超诊断,采用SPSS13.0统计学软件对数据进行统计学分析,所有计数资料均行x2检验,以P<0.05为差异有统计学意义。结果:在70例经阴道彩超联合腹部超声检查的病例中,有68人与手术结果相符合,诊断符合率达97.10%,1例误诊,1例漏诊;在另外66例经阴道彩超检查患者中,有59例与手术结果相符合,诊断符合率为89.40%,6例误诊,1例漏诊。结论:经阴道彩超与经腹部超声的联合相对于经阴道彩超而言,诊断的准确率有所提高,决定这一结果的关键因素在于腹部超声减少了误诊例数。Objective： To discuss the examination of transvaginal color doppler Sonography combined with abdominal ultrasound in the diagnosis and treatment of ectopic pregnancy. Methods： 128 suspicious patients with ectopic pregnancy who were taken the surgi- cal treatment in our hospital between March 2009 to December 2012 were selected. Among them, 70 cases have been diagnosed by vagi- nal ultrasonography combined with the abdominal ultrasound, another 58 cases by vaginal ultrasound. Statistical analysis was recorded by the SPSS13.0 statistical software, the measurement data were calculated by the row X2 test, and when P was less than 0.01 that re- ferred to the difference was statistically significant. Results： Among the 70 cases who were diagnosed with ectopic pegnancy by the method of vaginal ultrasonography combined with abdominal ultrasound, there are t error diagnosis and 1 missed diagnosis, diagnosis coincidence rate of the 70 cases was 97.10%, Among the other 66 cases who were diagnosed with ectopic pegnancy by using vaginal ul- trasonography, there are 6 error diagnosises and 1 missed diagnosis, diagnosis coincidence rate of the 66 cases was 89.40%. Conclusion： Compared with the vaginal ultrasound, the examination of vaginal ultrasound combined abdominal ultrasound has a higher diagnosis co- incidence rate, it is mainly because that the abdominal ultrasound reduces the misdiagnosis cases.

关 键 词：异位妊娠 阴道彩超 腹部超声 

分 类 号：R714[医药卫生—妇产科学] R445.1[医药卫生—临床医学]