经阴道超声诊断宫外孕的临床分析

Clinical Analysis of Ectopic Pregnancy Diagnosed by Transvaginal ultrasonography

目的:探讨经阴道超声诊断宫外孕的临床价值。方法:对45例临床可疑宫外孕患者进行阴道超声、彩色多普勒(CDFI)以及彩色多普勒能量图(CDE)检测,观察超声结果以及临床病理和随访情况并对两者进行对比。结果:经阴道彩超诊断显示45例为异位妊娠,而手术病理显示输卵管妊娠43例,即准确率为95.6%,其余2例都属于黄体破裂,即误诊率仅为4.4%。结论:经阴道超声诊断宫外孕具有较高的临床价值,在早期异位妊娠诊断方面具有较高的准确率。

Objective： To discuss the clinical value of transvaginal pregnancy. Methods： 45 suspected ectopic pregnancy patients received in uhrasonography in the diagnosis of ectopic hospital were given transvaginal uhrasonog- raphy, CDFI and CDE.The inspection results, clinical pathology, follow-up visits were compared. Results： 45 cases were diagnosed as ectopic pregnancy by transvaginal ultrasonography, surgical pathology indicated 43 cases of tubal pregnancy. That is to say, the accuracy rate is 95.6%, the other 2 were luteal rupture, with misdiagnosis rate 4.4% only. Conclusion： Transvaginal ultrasonography has high clinical value in the diagnosis of ectopic pregnancy, with high accuracy rate in early ectopic pregnancy diagnosis.