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目的比较腹部超声与阴道超声在不同类型异位妊娠诊断中的效果。方法选取2012年2月—2015年3月景德镇市第一人民医院收治的异位妊娠患者192例。所有患者先行腹部超声检查,后行阴道超声检查。比较腹部超声与阴道超声检测不同类型、分型异位妊娠的符合率及漏诊、误诊率。结果阴道超声检测输卵管妊娠、卵巢妊娠、宫角妊娠、腹腔妊娠、宫颈妊娠的符合率高于腹部超声,检测未破裂型、破裂型、流产型异位妊娠的符合率高于腹部超声,漏诊率、误诊率低于腹部超声,差异有统计学意义(P<0.05)。结论阴道超声检查对不同类型异位妊娠的检出率高于腹部超声,其具有简便、快捷、检出率高等优点。
Objective To compare the effects of abdominal ultrasound and vaginal ultrasound in the diagnosis of different types of ectopic pregnancy. Methods 192 patients with ectopic pregnancy admitted to the First People’s Hospital of Jingdezhen from February 2012 to March 2015 were selected. All patients underwent abdominal ultrasound examination, vaginal ultrasound examination. Compare the coincidence rate, missed diagnosis and misdiagnosis rate between different types of abdominal ultrasound and vaginal ultrasound in detecting ectopic pregnancy. Results The coincidence rate of tubal pregnancy, ovary pregnancy, cornual pregnancy, intraperitoneal pregnancy and cervical pregnancy was higher than that of abdominal ultrasound. The coincidence rate of vaginal ultrasound examination of unruptured, ruptured and abortion-type ectopic pregnancy was higher than that of abdominal ultrasound. The rate of misdiagnosis , Misdiagnosis rate was lower than abdominal ultrasound, the difference was statistically significant (P <0.05). Conclusion The detection rate of vaginal ultrasound on different types of ectopic pregnancy is higher than that of abdominal ultrasound, which has the advantages of simple, quick and high detection rate.