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目的:比较早期诊断异位妊娠的患者实施经阴道彩色多普勒超声与经腹部超声的临床效果。方法:选取我院2008年8月至2013年7月期间收治的42例异位妊娠的患者,均由手术及病理学证实为异位妊娠。随机平均分为两组,分别进行经阴道彩色多普勒超声诊断检查与经腹部彩色多普勒超声诊断检查。比较两种方式的诊断准确率与超声影像学的检出率。结果:经阴道超声检查异位妊娠的临床准确率明显高于经腹部超声检查P<0.05。同时经腹部彩色多普勒超声检查的胚芽、附件包块、盆腔积液、宫内假孕囊、原始心血管搏动等异位妊娠的典型超声影响学的检出率明显低于经阴道超声诊断,两种方式比较情况具有统计学差异,即P<0.05。结论:经阴道超声检查的临床诊断效果要高于经腹部超声检查,经阴道超声检查可以早期的发现。
Objective: To compare the clinical effect of transvaginal color Doppler ultrasonography and transabdominal ultrasonography in patients with early diagnosis of ectopic pregnancy. Methods: Forty-two patients with ectopic pregnancy admitted to our hospital from August 2008 to July 2013 were enrolled in this study. All cases were confirmed by surgery and pathology as ectopic pregnancy. Randomly divided into two groups, respectively, by transvaginal color Doppler ultrasound examination and transabdominal color Doppler ultrasound examination. Compare the diagnostic accuracy of two ways with the detection rate of ultrasound imaging. Results: The clinical accuracy of transvaginal ultrasound examination of ectopic pregnancy was significantly higher than that of transabdominal ultrasound (P <0.05). At the same time, the detection rate of typical ultrasonic echocardiography of embryo, annex mass, pelvic fluid, intrauterine pseudoskeleton, original cardiovascular pulse and other ectopic pregnancy by color Doppler ultrasound was significantly lower than transvaginal ultrasound There was a statistically significant difference between the two methods (P <0.05). Conclusion: The clinical diagnosis of transvaginal ultrasound is superior to that of transabdominal ultrasonography. Transvaginal ultrasonography can be used for early detection.