经腹部超声与经阴道彩色多普勒超声早期诊断宫外孕的价值对比

秦艳萍

（西安北环医院，陕西 西安，710032）

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摘要：

目的 综合分析经腹部超声与经阴道彩色多普勒超声（transvaginal color doppler ultrasound）早期诊断宫外孕的效果。方法 选取我院2015年6月至2016年8月收治的宫外孕患者102例作为研究对象，按照入院顺序随机分为试验组与对照组，每组均为51例。对照组应用经腹部超声诊断方法，试验组应用经阴道彩色多普勒超声诊断方法。分析两组患者的破裂型宫外孕、未破裂型宫外孕、附件区包块、宫内假孕囊、卵黄囊、胚芽等检出率。结果 试验组患者的破裂型宫外孕、未破裂型宫外孕检出率分别为88.24%、82.35%，对照组患者的破裂型宫外孕、未破裂型宫外孕检出率分别为39.22%、 43.14%，试验组患者的破裂型宫外孕、未破裂型宫外孕检出率远远高于对照组（P<0.05）；试验组患者附件区包块、宫内假孕囊、卵黄囊、胚芽等检出率远远高于对照组（P<0.05）。结论 经阴道彩色多普勒超声诊断早期宫外孕患者的效果远远优于经腹部超声诊断。

关键词：经腹部超声；经阴道彩色多普勒超声；早期宫外孕

中图分类号：R445.1文献标志码：A文章编号：2096-1413(2016)27-0149-02

Comparative analysis of early diagnosis of ectopic pregnancy by abdominal ultrasound and transvaginal color doppler ultrasonography
QIN Yan-ping
(Xi`an Beihuan Hospital, Xi`an 710032, China)

ABSTRACT: Objective To analyze the effect of abdominal ultrasound and transvaginal color doppler ultrasound in early diagnosis of ectopic pregnancy. Methods One hundred and two cases of ectopic pregnancy in our hospital from June 2015 to August 2016 were selected as research objects, and randomly divided into experimental group and control group according to the order of admission, with 51 cases in each group. The control group was diagnosed with abdominal ultrasound, and the experimental group was diagnosed with transvaginal color doppler ultrasound. The two groups of patients with ruptured ectopic pregnancy, unruptured ectopic pregnancy, the annex area of the block, false intrauterine pregnancy sac, yolk sac, embryonic bud and other detection rate were analyzed. Results The experimental group of patients with ruptured ectopic pregnancy and unruptured ectopic pregnancy were 88.24% and 82.35% respectively, which were higher than those of the control group of patients with ruptured ectopic pregnancy and unruptured ectopic pregnancy being 39.22% and 43.14% (P<0.05); the detection rate of the experimental group patients with adnexal masses, false intrauterine pregnancy sac, yolk sac, embryonic bud were higher than those of the control group (P<0.05). Conclusion The effect of transvaginal color doppler ultrasound in the diagnosis of early ectopic pregnancy patients is far better than that of the abdominal ultrasound diagnosis.
KEYWORDS: abdominal ultrasound; transvaginal color doppler ultrasound; early ectopic pregnancy

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