经腹与经阴道超声检查对诊断宫内外同时妊娠的临床价值探讨

Diagnostic classification of pregnancy and ectopic pregnancy diagnosis by transabdominal ultrasound and transvaginal ultrasound

目的探讨经腹与经阴道超声检查对诊断宫内外同时妊娠的临床价值。方法对25例证实为宫内外妊娠的患者同时经腹及经阴道超声检查结果以及临床结局进行回顾性分析,并随访宫内妊娠结局以及手术病理检查结果。结果经腹超声、经阴道超声诊断宫内孕符合率分别为96.4%、100%;经腹超声、经阴道超声诊断宫外孕符合率分别为51.9%、96.3%;经腹超声、经阴道超声诊断宫内外同时妊娠符合率分别为52.0%、96.0%。结论经腹与经阴道超声检查诊断宫内妊娠诊断符合率差异无统计学意义,经阴道超声对宫外孕以及宫内外同时妊娠的诊断明显优于经腹超声,两者联合可提高宫内外同时妊娠诊断率,早期发现宫内外同时妊娠并及早手术,对宫内胎儿的影响减至最低,有利于宫内胚胎继续妊娠。

Objective To explore the clinical value o~ the heterotopic pregnancy diagnosis by transabdominal ultrasound （TAS） and transvaginal ultrasound （TVS）. Methods To retrospectively analyze the TAS and TVS results of 25 heterotopie pregnancy pa- tients, and follow up intrauterine pregnancy pathological and the results. Results The diagnostic accurate rate of pregnancy by TAS and TVS were 96.4 %, 100% ; that of ectopic pregnancy were 51.9 %, 96.3 % ; that of ectopic pregnancy were 52.0%,96. 0 %. Conclusion The diagnostic accuracy of transvaginal ultrasound and transabdominal ultrasound for pregnancy has no significant difference,the diagnostic accuracy of transvaginal ultrasound for eetopic pregnancy and heterotopic pregnancy is obviously higher than that of transabdominal ultrasound, combination of them for further diagnosis should be essential and useful, the heterotopie pregnancy is detected early and surgery early that it will be minimized the impact of fetal and continued pregnancy.