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目的探讨经阴道超声在诊断异位妊娠中的临床价值。方法 92例异位妊娠患者,均接受经腹部与经阴道超声检查,比较两种方法对于附件区包块、胚芽、宫内假孕囊、卵黄囊和胎心搏动的检出率以及对于不同大小包块的检出情况。结果经阴道超声检查对于附件区包块、胚芽、宫内假孕囊、卵黄囊和胎心搏动的检出率均明显高于经腹部超声检查,差异均有统计学意义(P<0.05);经阴道超声检查对于直径<1.2 cm和1.2 cm≤直径≤3.5 cm的包块检出率均明显高于经腹部超声检查,差异均具有统计学意义(P<0.05),而两种方法对于直径>3.5 cm的包块检出率比较差异无统计学意义(P>0.05)。结论经阴道超声检查能够明显提高异位妊娠的诊断准确率,值得在临床中推广应用,但经腹部超声检查依然具有重要的应用价值。
Objective To investigate the clinical value of transvaginal sonography in the diagnosis of ectopic pregnancy. Methods Totally 92 ectopic pregnancy patients underwent transvaginal and transvaginal ultrasonography. Comparing the detection rate of pelvis, germ, intrauterine pseudoskeleton, yolk sac and fetal heartbeat between the two methods, Mass detection of the situation. Results Transvaginal ultrasonography showed significantly higher detection rate of pelvis, germ, intrauterine pseudoskeleton, yolk sac and fetal heart rate in the attachment zone than that of the abdominal ultrasonography (P <0.05). Transvaginal ultrasonography showed that the detection rate of mass of the mass less than 1.2 cm in diameter and 1.2 cm in diameter less than 3.5 cm were significantly higher than those in the transabdominal ultrasound, the differences were statistically significant (P <0.05) The detection rate of> 3.5 cm mass was no significant difference (P> 0.05). Conclusion Transvaginal ultrasonography can significantly improve the diagnostic accuracy of ectopic pregnancy, which is worth popularizing in clinic. However, the transabdominal ultrasonography still has important application value.