经腹和经阴道彩色多普勒超声检查诊断早期异位妊娠的临床分析

Clinical Analysis on Transabdominal and Transvaginal Color Doppler Ultrasound Diagnosis in Early Ectopic Pregnancy

目的：比较经腹和经阴道彩色多普勒超声检查在异位妊娠诊疗中的应用价值,进一步提高异位妊娠的诊断水平。方法：随机抽取2012年6月~2013年7月来我院妇产科就诊的76例经手术病理明确诊断的异位妊娠患者,分别采取经腹和经阴道彩色多普勒超声检查,然后将彩色多普勒检查结果与临床病理结果相比对,比较两组诊断相符率。结果：76例经腹诊为异位妊娠患者术后病理确诊60例,确诊相符率为78.95%,包括55例输卵管妊娠,1例宫颈部妊娠,1例残角子宫妊娠,1例腹腔妊娠,1例子宫角妊娠,1例卵巢妊娠,误诊为16例,误诊率21.05%。76例经阴道诊为异位妊娠患者术后病理确诊74例,确诊相符率为97.37%,包括60例输卵管妊娠,4例宫颈部妊娠,2例残角子宫妊娠,4例腹腔妊娠,1例子宫角妊娠,3例卵巢妊娠,误诊为2例,误诊率2.63%。经阴道组异位妊娠诊断相符率明显优于经腹组,差异有统计学意义（P〈0.05）。结论：临床应用经阴道彩色多普勒超声可明显提高异位妊娠的诊断率,且应用方便,值得临床推广应用。

Objective：To compare transabdominal and transvaginal color Doppler ultrasonography in the diagnosis and treatment of ectopic pregnancy application value to improve further the diagnosis of ectopic pregnancy.Methods：Randomly selected from June 2012 to July 2013 in our hospital obstetrics and gynecology clinic,76 cases with pathologically diagnosed patients with ectopic pregnancy were taken transabdominal and transvaginal color Doppler ultrasound,and then compare the color multi-Doppler findings and clinical pathology results and the consistent rate of diagnosis.Results：76 cases by transabdominal diagnosed as ectopic pregnancy diagnosed 60 cases of postoperative pathology,diagnosis consistent rate was 78.95%,including 55 cases of ectopic pregnancy,cervical pregnancy in one case,one case of rudimentary uterine horn pregnancy,one case of abdominal pregnancy,one case of uterine horn pregnancy,one case of ovarian pregnancy,misdiagnosed was 16 cases and the misdiagnosis rate was 21.05%.76 cases by transvaginal diagnosed as ectopic pregnancy diagnosed 74 cases of postoperative pathology,the diagnosis consistent was 97.37%,including 60 cases of ectopic pregnancy,cervical pregnancy in four cases,two cases of rudimentary uterine horn pregnancy,four cases of abdominal pregnancy,one uterine horn pregnancy,three cases of ovarian pregnancy,misdiagnosed was two cases,the misdiagnosis rate was 2.63%.The diagnosis consistent rate of ectopic pregnancy by transvaginal group was significantly superior to transabdominal group,the difference was statistically significant（P〈0.05）.Conclusion：Clinical application of transvaginal color Doppler ultrasound can significantly improve the diagnosis consistent rate of ectopic pregnancy,and convenient,worthy of clinical application.