经腹和阴道超声联合检测提高早期异位妊娠诊断率

Increasing diagnosis rate of early ectopic pregnancy by transabdominal and transvaginal ultrasonography combination

目的:探讨经腹和阴道超声联合在诊断早期异位妊娠中作用。方法:经腹超声对临床72例疑似早期异位妊娠患者进行检测,经腹超声不能确诊的患者再经阴道超声检测。结果:72例疑似病例,手术及病理证实70例为异位妊娠;经腹超声检测,49例诊断为异位妊娠,诊断符合率为68.1%;经腹联合经阴道超声检测,诊断异位妊娠68例,诊断符合率为94.4%。结论:经腹超声结合经阴道超声联合检测明显提高早期异位妊娠诊断率。

Objective： To explore the abdominal and vaginal ultrasound in early diagnosis of ectopic pregnancy.Methods： 72 cases of suspected early ectopic pregnancy patients were detected by transabdominal ultrasound,the patients who could not be diagnosed were detected by transvaginal ultrasound again.Results： 72 cases of suspected cases,70 cases were confirmed as ectopic pregnancy by operation and pathology;49 cases were diagnosed as ectopic pregnancy by transabdominal ultrasound,diagnostic coincidence rate was 68.1%;68 cases were diagnosed as ectopic pregnancy by transabdominal combined transvaginal ultrasound detection,the diagnosis coincidence rate was 94.4%.Conclusion： The combination of transabdominal and transvaginal ultrasonography can increase the diagnosis rate of early ectopic pregnancy.