阴道B型超声在诊断早期宫外孕中的效果评价

Evaluation of Transvaginal B-ultrasound in the Early Diagnosis of Ectopic Pregnancy

目的探讨经阴道B型超声(B超)在诊断早期宫外孕中的临床应用价值。方法回顾分析2011年5月-2012年3月应用阴道B超与腹部B超对78例宫外孕患者进行对比检查的临床资料并回顾性分析,评价两种检查方法的临床效果。结果 78例宫外孕患者,应用经阴道B超检查诊断准确率为97.44%,应用腹部B超准确率为61.54%,差异具有统计学意义(χ2=6.472,P<0.05);经阴道B超检查诊断附件包块、宫内假孕囊、心血管搏动、胚芽、盆腔积液的检出率明显高于经腹部B超检查的检出率(P<0.05)。结论阴道B超具有操作简单、快速、无副作用、无需充盈膀胱等优点,在宫外孕的早期诊断中具有绝对的优越性,为临床提供了更方便、更快捷的诊断手段,减轻了患者痛苦,提高了诊断的准确率,值得临床广泛推广和应用。

Objective To evaluate transvaginal B-ultrasound in the early diagnosis of ectopic pregnancy.Methods We retrospectively analyzed the clinical data of 78 patients with ectopic pregnancy treated in our hospital between May 2011 and March 2012.They underwent either transvaginal B-ultrasound or abdominal B-ultrasound examination.The clinical efficacy of these two examination methods were compared.Results For the 78 cases of ectopic pregnancy,the accuracy the diagnostic accuracy rate of transvaginal B-ultrasound and abdominal B-ultrasound was 97.44% and 61.54% respectively,between which there was a significant difference（χ^2=6.472,P〈0.05）.Transvaginal B-ultrasound detection rate of adnexal mass,fake intrauterine gestational sac,cardiovascular volatility,germ,and pelvic effusion was significantly higher than abdominal B-ultrasound detection rate（P〈0.05）.Conclusions Transvaginal B-ultrasound has absolute superiorities in the early diagnosis of ectopic pregnancy.It is simple and fast with no side effects or any need to fill the bladder,which provides clinicians with more convenient and quicker diagnostic tool,and can alleviate the suffering of patients and improve the accuracy of diagnosis.