腹部B超与阴道B超诊断异位妊娠的价值比较

Comparison of Values of Abdominal and Vaginal B-ultrasounds in the Diagnosis of Ectopic Pregnancy

目的:比较腹部B超与阴道B超诊断异位妊娠的价值。方法:65例异位妊娠患者分别先后予以腹部B超与阴道B超检查,分析两种检查方式的诊断结果并与手术病理学结果进行比较,探讨两种检查方式对异位妊娠的诊断率率。结果:阴道B超的阳性确诊率为95.38%,高于腹部B超的78.46%,差异具有统计学意义(P<0.05)。阴道B超对胚芽、盆腔积液、附件包块、假孕囊及心血管搏动的检出率显著高于腹部B超,差异具有统计学意义(P<0.05)。结论:阴道B超诊断异位妊娠的阳性检出率明显高于腹部B超,能够减少漏诊、误诊率,且阴道B超具有简便、直观的优点。

Objective： To compare the values of abdominal and vaginal B-ultrasounds in the diagnosis of ectopic pregnancy. Methods： A total of 65 patients with ectopic pregnancy were orderly given abdominal and vaginal B-ultrasounds. The results of above two detections were analyzed and compared with pathological results after surgery so as to explore the diagnostic rate of the two detections. Results： The positive diagnostic rate of vaginal B-ultrasound was 95. 38%,evidently higher than the 78. 46% by abdominal B-ultrasound,and there was significant difference（ P〈0. 05）. Vaginal B-ultrasound was markedly higher than abdominal one in the detection rates of germs,pelvic effusion,adnexal mass,phantom pregnancy bursa and cardiovascular pulsation,and the difference was significant（ P〈0. 05）. Conclusion： Vaginal B-ultrasound,as is significantly higher than abdominal B-ultrasound in the positive detection of ectopic pregnancy,can reduce the rates of missed diagnosis and diagnostic errors,and is marked by the advantages of convenience and perceptual intuition.