阴道彩超与腹部彩超诊断异位妊娠的临床效果比较  

Clinical Effect Comparison of Vaginal Ultrasound and Abdominal Ultrasound in Diagnosis of Ectopic Pregnancy

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作  者:张晓杰 ZHANG Xiaojie(Central Hospital of Dachengzi Town,Karaqin Left-wing Mongolian Autonomous County,Chaoyang City(Fourth Hospital of Karaqin Left-wing Mongolian Autonomous County),Chaoyang 122300,China)

机构地区:[1]朝阳市喀喇沁左翼蒙古族自治县大城子镇中心卫生院(喀喇沁左翼蒙古族自治县第四人民医院),辽宁朝阳122300

出  处:《中国医药指南》2021年第20期36-37,共2页Guide of China Medicine

摘  要:目的对比分析在实施异位妊娠诊断的过程中阴道彩超与腹部彩超的临床诊断准确率与价值。方法本次试验研究回顾性分析了2019年1月至2020年1月在我院经过手术和病理检查确诊为异位妊娠患者85例的影像学资料,所有患者均给予了腹部彩超检查和阴道彩超检查,对其检查的准确率进行对比与分析。结果阴道彩超异位妊娠检出率与腹部彩超相比明显较高(P<0.05)。在附件区包块、卵黄囊、胚芽以及盆腔积液和假孕囊的检出率的比较上,阴道彩超明显更高,统计学差异显著(P<0.05)。结论在临床诊断异位妊娠的过程中,阴道彩超与腹部彩超均为较为常用的诊断方法,其中阴道彩超提高了异位妊娠和附件区包块、卵黄囊、胚芽以及盆腔积液和假孕囊的检出率,其诊断效果显著优于腹部彩超,为临床治疗提供了基础和借鉴,值得予以广泛临床推广。Objective To compare and analyze the diagnostic accuracy and value of vaginal color Doppler ultrasound and abdominal color Doppler ultrasound in the process of ectopic pregnancy diagnosis.Methods This experimental study retrospectively analyzed the imaging data of 85 patients diagnosed with ectopic pregnancy after surgery and pathological examination in our hospital from January 2019 to January 2020.All patients were given abdominal ultrasound and vaginal color Doppler ultrasound examination to compare and analyze the accuracy of its examination.Results The detection rate of ectopic pregnancy by vaginal ultrasound was significantly higher than that by abdominal ultrasound(P<0.05).Vaginal color ultrasound was significantly higher in the detection rate of adnexal mass,yolk sac,germ,pelvic effusion and pseudocyst,with statistically significant difference(P<0.05).Conclusion In the process of clinical diagnosis of ectopic pregnancy,vaginal color Doppler ultrasound and abdominal color Doppler ultrasound are more commonly used diagnostic methods,in which vaginal color Doppler ultrasound improves ectopic pregnancy and attachment area mass,yolk sac,embryo,pelvic effusion and false pregnancy the detection rate of the capsule is significantly better than that of abdominal color Doppler ultrasound,which provides a basis and reference for clinical treatment and is worthy of extensive clinical promotion.

关 键 词:异位妊娠 阴道彩超 腹部彩超 附件区包块 盆腔积液 假孕囊 

分 类 号:R714.22[医药卫生—妇产科学]

 

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