阴道彩超与腹部彩超结合应用于异位妊娠诊断中的价值

白彩凤

（陕西省榆林市榆阳区中医医院超声科，陕西 榆林，719000）

浏览次数：113次 下载次数：405次

摘要：

目的 探讨阴道彩超结合腹部彩超诊断异位妊娠的临床价值。方法 将我院异位妊娠患者72 例按诊断方式的不同分为 阴道超声检查组和联合检查组，各36 例。阴道超声检查组患者单纯采用阴道彩超进行诊断，联合检查组在阴道彩超基础上 联合腹部彩超进行诊断。比较两组患者的异位妊娠的检出情况。结果 联合检查组异位妊娠诊检出率显著高于阴道超声检查组 （P<0.05）。联合检查组与阴道超声检查组在不同妊娠部位检出率上差异均无统计学意义（P>0.05）。联合检查组患者假孕囊、卵黄囊检出率明显高于阴道超声检查组，而盆腔积液、附件区包块检出率显著低于阴道超声检查组（P<0.05）。结论 在阴道 彩超基础上联合腹部彩超对异位妊娠进行诊断，可进一步提升异位妊娠检出率，但阴道彩超对盆腔积液、附件区包块诊断效 果更优，临床需根据患者的实际情况进行选择。
 

关键词：阴道彩超；腹部彩超；异位妊娠；诊断

中图分类号：R714.22；R445.1文献标志码：A文章编号：2096-1413(2018)06-0145-02

Clinical value of transvaginal color doppler ultrasound and abdominal color doppler ultrasound in the

diagnosis of ectopic pregnancy
BAI Cai-feng
(Ultrasound Department, Traditional Chinese Medicine Hospital of Yuyang District, Yulin 719000, China)

ABSTRACT: Objective To explore the clinical value of transvaginal color doppler ultrasound and abdominal color doppler ultrasound in the diagnosis of ectopic pregnancy. Methods Seventy-two patients with ectopic pregnancy in our hospital were divided into transvaginal ultrasound group and combined examination group according to different diagnostic methods, with 36 cases in each group. The transvaginal ultrasound group was diagnosed by transvaginal color doppler ultrasound, the combined examination group was combined with abdominal color doppler ultrasound on the basis of transvaginal color doppler ultrasound. The detection of ectopic pregndncy in the two groups were compared. Results The detection rate of ectopic pregnancy in the combined examination group was significantly higher than that of the transvaginal ultrasound group (P<0.05). There were no significant differences in the detection rates of different pregnancy parts between the combined examination group and the transvaginal ultrasound group (P>0.05). In the combined examination group, the detection rate of false pregnancy sac and yolk sac were significantly higher those in the transvaginal ultrasound group, while the detection rate of pelvic effusions and adnexal mass were significantly lower than those in the vaginal ultrasound group (P<0.05). Conclusion Transvaginal color doppler ultrasound and abdominal color doppler ultrasound in the diagnosis of ectopic pregnancy can further improve the diagnosis rate of ectopic pregnancy, but the transvaginal color doppler ultrasound has better effect on the diagnosis of pelvic effusions and adnexal mass, the clinic should select the methods according to the patients actual situation.
KEYWORDS: transvaginal color doppler ultrasound; abdominal color doppler ultrasound; ectopic pregnancy; diagnosis

参考文献：
[1] 刘娟,任虹.血清β-hCG、孕酮、CA125 联合阴道彩超检测子宫内膜厚度对异位妊娠诊断的临床研究[J].中国妇幼保健,2017,32(2):344-346.
[2] 孙立娜.探讨阴道彩超联合腹部彩超在异位妊娠诊断中的应用[J].中国卫生标准管理,2017,8(8):116-117.
[3] 刘长芹.异位妊娠患者应用阴道彩超与腹部彩超检测的临床诊断价值[J].中国卫生标准管理,2015,6(27):163-164.
[4] 皮苏芹,张艳.阴道彩超联合腹部彩超在异位妊娠诊断中的价值探讨[J].中国继续医学教育,2016,8(28):41-42.
[5] 覃哲微.腹部与阴道彩超在异位妊娠诊断中的比较[J].中外医疗,2015,34(30):183-185.
[6] 侯伟.腹部超声与阴道超声在诊断早期异位妊娠的应用效果比较[J].中国实用医刊,2015,42(9):24-25.