经阴道彩色多普勒超声检查在妇科急症异位妊娠诊断中的应用价值

Application value of transvaginal color Doppler ultrasound examination on the diagnosis of ectopic pregnancy of gynecological emergency

目的探讨经阴道彩色多普勒超声检查在妇科急症异位妊娠诊断中的应用价值。方法回顾性分析2012年7月~2016年5月于我院行腹腔镜或开腹手术确诊为异位妊娠的160例患者的诊断资料,患者均行经腹部(经腹部超声)及经阴道彩色多普勒超声(经阴道超声)检查,比较两种检查方法对异位妊娠的检出率。结果经阴道超声对胎囊型、衰减包块型、混合包块型、实性包块型、漂浮型、特殊型输卵管异位妊娠的检出率均高于经腹部超声(P<0.05);两种检查方法对卵巢妊娠、子宫角妊娠、残角子宫妊娠的检出率差异无统计学意义(P>0.05)。经阴道超声检查的包块直径集中于2~3 cm,与最终结果一致,经腹部超声检查则集中于4~5 cm,两种检查方法差异有统计学意义(P<0.05)。结论经阴道超声检查在妇科急症异位妊娠的诊断中具有重要价值,检出率高,与最终结果更接近,值得推广。

Objective To study the application value of transvaginal color Doppler ultrasound on the diagnosis of ectopic pregnancy of gynecological emergency.Methods Diagnostic data of 160 patients with ectopic pregnancy diagnosed by laparoscopic or open surgery in our hospital from July 2012 to May 2016 were retrospectively analyzed.All patients were given transabdominal（transabdominal ultrasound） and transvaginal color Doppler ultrasonography（transvaginal sonography） examination.The detection rate between the two examination methods was compared.Results The detection rate of fetal cystic,attenuation mass type,mixed mass type,solid mass type,float type,special type of tubal ectopic pregnancy of transvaginal ultrasound were higher than those of transabdominal ultrasound（P〈0.05）.There was no statistical difference of the detection rate of ovarian pregnancy,cornual pregnancy,rudimentary cornual pregnancy between the two examination methods（P〉0.05）.The mass diameter of transvaginal sonography examination concentrated in 2-3 cm,and this result was consistent with the final results,while the mass diameter of transabdominal ultrasound examination concentrated in 4-5 cm,and there was a statistical difference between the two examination methods（P〈0.05）.Conclusion Transvaginal sonography has an important value in the diagnosis of ectopic pregnancy of gynecological emergency,and the detection rate is high,and the result is closer to the final results.It is worthy of promotion Application value of transvaginal color doppler ultrasound on the diagnosis of gynecological acute ectopic pregnancy.Diagnosis rate is high,and the end result is more close,worth promoting.