摘要
目的探讨超声检查在异位妊娠临床诊断中的应用价值。方法选取本院2010年3月～2012年3月收治的202例疑似异位妊娠患者作为研究对象,于同期分别行经腹部超声和经阴道超声检查,比较两种超声检查的诊断价值。结果 (1)本组202例疑似异位妊娠患者最终确诊194例,占96.0%。经腹部超声检查确诊198例,确诊率为92.7%,误诊率为2.1%;经阴道超声检查确诊196例,确诊率为97.8%,误诊率为0.7%。经阴道超声检查确诊率明显高于经腹部超声检查,差异具有统计学意义(x2=9.246,P<0.01)。(2)两种检查方法对子宫大小、子宫内膜厚度测定结果比较差异均无统计学意义(P>0.05);但腹腔和盆腔积液、附件包块发生率比较,差异具有统计学意义(P<0.01)。结论对于适应证的异位妊娠患者均首选经阴道超声检查,必要时可结合腹部超声检查,以提高临床确诊率、减少误诊漏诊。
Objective To investigate the value of uhrasound in the clinical diagnosis of eetopic pregnancy. Methods The hospital from March 2010 to March 2012, 202 patients admitted with suspected eetopie pregnancy patients as research subjects passing abdominal ultrasound and transvaginal ultrasound, respectively, during the same period,compared ultrasound diagnostic value. Results （1） The group of 202 patients with suspected eetopic pregnancy patients ultimately diagnosed 194 eases, accounting for 96.0%.198 eases,the diagnosis was confirmed by abdominal ultrasonography 92.7% misdiagnosis rate was 2.1%,transvaginal ultrasound confirmed 196 cases, diagnosis was 97.8%,and the misdiagnosis rate was 0.7%.Vaginal ultrasound diagnosed by abdominal ultrasound was significantly higher than statistically signifieant（χ2=9.246, P 〈 0.01）.（2）The two methods of uterine size,endometrial thickness measurement results showed no significant differences（P 〉 0.05）. incidence of abdominal and pelvic fluid,adnexal mass,there were significant differences （P 〈 0.01） with statistical significance. Conclusion For patients with ectopic pregnancy indications are preferred transvaginal ultrasound combined with abdominal ultrasound if necessary to improve the rate of clinical diagnosis,to reduce the misdiagnosis.
出处
《中国医药科学》
2013年第6期105-106,109,共3页
China Medicine And Pharmacy
关键词
经阴道超声
经腹部超声
异位妊娠
临床诊断
应用价值
Transvaginal ultrasound
Abdominal ultrasound
Ectopic pregnancy
Clinical diagnosis
Application value
