超声诊断宫外孕对诊断结果的影响研究

Study on the Effect of Ultrasound Diagnosis of Ectopic Pregnancy on the Diagnosis Results

目的探析超声诊断在临床宫外孕检查中的实践价值。方法方便抽取2014年10月—2016年4月期间,在该院妇科接受诊治72例宫外孕病人为观察对象。采用随机数字分配方式,将其均分成观察组36例与对照组36例。观察组患者采用经阴道超声检查,对照组患者实施经腹部超声检查。对比2组患者的临床超声对盆腔积液、卵黄囊、心搏以及胎芽等的诊断结果。结果对照组患者诊断符合率为77.78%,明显低于观察组97.22%,组间对比差异有统计学意义(χ2=4.57,P<0.05);观察组盆腔积液阳性检出率91.67%,显著高于对照组58.33%;卵黄囊、心搏以及胎芽阳性检出率44.44%,显著高于对照组19.44%;对比差异有统计学意义(P<0.05)。结论对宫外孕诊断中采用阴道超声检查技术,不仅对孕妇造成的伤害小,而且操作简单、临床准确率高,值得采纳与推行。

Objective To analysis of ultrasound diagnosis in clinical ectopic pregnancy examination of practical value.Methods Convenient extraction in October 2014 to 2016 during the month of April, in my courtyard department of gynaecology accept diagnosis and treatment of 72 cases of ectopic pregnancy patients as the observation object. Using random number distribution, which were divided into observation group（36 cases） and control group（36 cases）. Observation group patients by transvaginal ultrasonography, the control group were implemented by abdominal ultrasound examination. Compared two groups of patients with clinical ultrasound of pelvic effusion, diagnosis results of yolk sac, cardiac and fetal buds.Results Control group patients are diagnosed accord with rate was 77.78%, significantly lower than the observation group97.22%, group compared to the presence of statistical significance（χ2=4.57, P〈0.05）; observation group pelvic effusion were detected, the positive rate was 91.67%, significantly higher than that of control group was 58.33%; yolk sac, cardiac and fetal bud positive rate of 44.44%, significantly higher than the control group 19.44%; compared to the presence of statistical value（P〈0.05）. Conclusion For diagnosis of ectopic pregnancy by transvaginal ultrasound technology, not only for pregnant women caused little damage, and has the advantages of simple operation, high accuracy in clinical and worthy of adoption and implementation.