超声诊断少见部位异位妊娠的效果及漏诊误诊原因探讨  

Ultrasound Diagnosis of Rare Ectopic Pregnancy and the Reasons for Misdiagnosis

作　　者：张佩 ZHANG Pei(People's Hospital of Hutubi County,Changji Hui Autonomous Prefecture,Changji,Xinjiang,831200 China)

机构地区：[1]新疆昌吉回族自治州呼图壁县人民医院

出　　处：《世界复合医学》2019年第10期124-126,共3页World Journal of Complex Medicine

摘　　要：目的探究不同超声方式在应用于少见部位异位妊娠诊断中的价值,并探究其中存在的漏诊与误诊原因。方法在该院数据库中选择时间段2014年6月—2018年12月间收入的60例少见部位异位妊娠患者的一般资料,分别将其分为对照组(n=30)与实验组(n=30)。对照组患者选择腹部超声诊断方案,实验组患者则在腹部超声的诊断基础上加用阴道超声进行诊断。对比两组患者的诊出率、误诊率、附件包块检出率。结果实验结果显示实验组患者的诊出率为29例(96.67%)、附件包块检出率为27例(90.00%),对照组分别为19例(63.33%)、18例(60.00%),而两组结果对比实验组患者的误诊率低于对照组,差异有统计学意义(χ^2=10.417,P=0.001)。实验组少见部位的异位妊检出率高于腹部超声,但差异无统计学意义(P>0.05)。结论在对少见部位异位妊娠患者进行诊断时,选择经阴道超声和腹部超声相结合的诊断方案,能够有助于明确不同部位的妊娠状况及漏诊率和误诊率均较低。Objective To explore the value of different ultrasound methods in the diagnosis of ectopic pregnancy in rare sites,and to explore the reasons for missed diagnosis and misdiagnosis.Methods The general data of 60 cases of rare ectopic pregnancy from June 2014 to December 2018 were selected in our database.They were divided into control group(n=30)and experimental group(n=30).The patients in the control group chose the abdominal ultrasound diagnosis program,and the patients in the experimental group were diagnosed with vaginal ultrasound on the basis of the diagnosis of abdominal ultrasound.The diagnosis rate,misdiagnosis rate and accessory mass detection rate of the two groups were compared.Results The experimental results showed that the diagnosis rate of the experimental group was 29 cases(96.67%),the detection rate of the accessory mass was 27 cases(90.00%),and the control group was 19 cases(63.33%)and 18 cases(60.00%),respectively.The misdiagnosis rate of the experimental group was lower than that of the control group.The difference were statistically significant(χ^2=10.417,P=0.001).The ectopic pregnancy rate of rare sites in the experimental group was higher than that of abdominal ultrasound,but there was no statistical difference(P>0.05).Conclusion In the diagnosis of patients with ectopic pregnancy in rare sites,the choice of a combination of transvaginal ultrasound and abdominal ultrasound can help to identify the pregnancy status of different parts and the rate of missed diagnosis and misdiagnosis are low.

关 键 词：经阴道彩色多普勒超声 经腹部超声 诊断 少见部位异位妊娠 

分 类 号：R445[医药卫生—影像医学与核医学]