探讨经阴道彩超与腹部彩超在异位妊娠诊断中的价值.docVIP

精品论文 参考文献 探讨经阴道彩超与腹部彩超在异位妊娠诊断中的价值 雷燕 　　（合江县人民医院超声科 四川泸州 646200） 　　【摘要】目的：对比探讨经阴道彩超与腹部彩超在异位妊娠诊断中的价值。方法：选取2014年1月至2015年12月在我院妇产科手术确诊异位妊娠的患者80例作为研究对象，患者术前分别行经阴道彩超检查和腹部彩超检查，对患者检查的超声声像图资料进行回顾性的分析,观察对比两种检查方法的检查结果。结果：经阴道彩超检查诊断附件区包块、胚芽、卵黄囊、盆腔积液的准确率分别为92.5%、28.8%、63.6%、93.6%；腹部彩超检查诊断附件区包块、胚芽、卵黄囊、盆腔积液的准确率分别为71.3%、22.5%、33.8%、73.8%，经阴道彩超检查的诊断符合率明显高于腹部彩超检查，差异显著（P＜0.05），具有统计学意义。结论：经阴道彩超检查诊断异位妊娠比腹部彩检查诊断异位妊娠的准确率高，且具有方便快捷、安全无创等特点，值得在临床上推广应用。 　　【关键词】经阴道彩超；腹部彩超；异位妊娠；诊断；对比 　　【中图分类号】R445.1 【文献标识码】A 【文章编号】1007-8231（2016）10-0026-02 　　【Abstract】Objective To compare the value of transvaginal Color Doppler ultrasonography(TVCD) and transabdominal color Doppler ultrasonography in the diagnosis of eccyesis. Methods Select 80 cases of patients with eccyesis diagnosis by operation from 2014 January to December 2015, and patients before operation were examined by TVCD and transabdominal color Doppler ultrasonography. Analyze retrospectively the sonograms, and observe the comparison of the results examined by two methods. Results The respective rate of accuracy examined by TVCD in the diagnosis of adnexal masses, embryo, saccus omphaloentericus, pelvic effusion accuracy of 92.5%, 28.8%, 63.6% and 93.6%; and the respective rate of accuracy examined by transabdominal color Doppler ultrasonography in these diagnosis was 71.3%, 22.5% and 33.8%, 73.8%; the rate of diagnostic accuracy examined by TVCD was significantly higher than that examined by transabdominal color Doppler ultrasonography, and the difference is significant statistical significance(Plt;0.05). Conclusion The examination of TVCD in the diagnosis of eccyesis is more accurate than the examination of transabdominal color Doppler ultrasonography, and it is convenient, safe, non-invasive, it is worth to be popularized in clinical application. 　　【Key words】Transvaginal Color Doppler ultrasonography(TVCD);Transabdominal color Doppler ultrasonography;Eccyesis;Diagnosis; Compare 　　异位妊娠又叫做宫外孕，是指受精卵在子宫