经阴道超声与经腹部超声诊断异位妊娠效果探究  

Diagnostic Effect Exploration of Transvaginal Ultrasound and Transabdominal Ultrasound for Ectopic Pregnancy

作　　者：李惠灵 LI Huiling(Ultrasound Department,Huizhou City Huiyang Maternal and Child Health Hospital,Huizhou,Guangdong 516000)

机构地区：[1]惠州市惠阳区妇幼保健院超声科,广东惠州516000

出　　处：《智慧健康》2024年第19期7-9,共3页Smart Healthcare

摘　　要：目的观察异位妊娠诊断中经阴道超声与经腹部超声应用效果。方法选取2019年1月—2022年12月在本院就诊的异位妊娠患者280例进行研究,依据检查方法不同分为经阴道超声组和经腹超声组,每组140例。经阴道超声组接受经阴道超声检查,经腹超声组接受经腹部超声检查。统计两种诊断方法下影像学征象、诊断符合率。结果经阴道超声组对包括宫腔内假孕囊、附件区包块或附件区孕囊(是否存在卵黄囊、胚芽或原始心管搏动)、盆腔积液等特征性影像学征象高于经腹超声组,组间差异有统计学意义(P<0.05);经阴道超声组的诊断符合率明显高于经腹超声组,组间差异有统计学意义(P<0.05)。结论异位妊娠诊断中,同经腹部超声诊断相比,经阴道超声检查呈现出更高的诊断符合率,影像学征象更加明显,值得应用。Objective To observe application effect of transvaginal ultrasound and transabdominal ultrasound in diagnosis of ectopic pregnancy.Methods The paper chose 280 patients with ectopic pregnancy in our hospital from September 2019 to December 2022,and divided them into groups according to different examination methods.140 cases were treated with transvaginal ultrasound examination,while the other 140 cases with transabdominal ultrasound examination.Imaging signs and diagnostic accuracy of two diagnostic methods were analyzed statistically.Results Diagnostic method of transvaginal ultrasound was better than abdominal ultrasound in terms of characteristic imaging features including intrauterine pseudogestational sac,adnexal mass or adnexal gestational sac(presence of yolk sac,embryo or primitive heart beat),pelvic fluid accumulation,with significant statistical difference,P<0.05.Diagnostic accuracy of transvaginal ultrasound was significantly higher than transabdominal ultrasound,with P<0.05,indicating significant difference in data.Conclusion Transvaginal ultrasound can achieve higher diagnostic accuracy and more obvious imaging signs than transabdominal ultrasound in diagnosis of ectopic pregnancy,which is worthy of application.

关 键 词：经阴道超声 经腹部超声诊断 异位妊娠 影像学征象 诊断符合率 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]