阴道彩超与腹部彩超结合应用于异位妊娠诊断中的价值

Value of Vaginal Color Doppler Ultrasound Combined with Abdominal Color Doppler Ultrasound in the Diagnosis of Ectopic Pregnancy

目的分析经腹、阴道超声用于异位妊娠诊断的可行性。方法方便选取2016年7月—2017年10月期间医院经检查确诊为异位妊娠的58例女性患者作为该次观察对象,入院后所有患者先行经腹超声检查,后行阴道彩超检查,按临床检查方式不同分为两组(腹部组、联合组),每组58例,以最终确诊结果为金标准,组间比较两组异位妊娠检出率,对比不同异位妊娠部位两组检出情况,观察患者假孕囊、卵黄囊、盆腔积液等不同检查方式诊断情况。结果联合组确诊率为98.3%,高于腹部组82.8%(X^2=14.120,P<0.05);联合组腹腔、输卵管、宫颈、阔韧带诊断率为100.0%、97.7%、100.0%、100.0%高于腹部组80.0%、86.0%、66.7%、50.0%(X^2=22.222、6.068、39.952、66.667,P<0.05);联合组假孕囊、卵黄囊、附件包块、盆腔积液诊断率为17. 2%、50.0%、93.1%、89.7%高于腹部组5.2%、22.4%、77.6%、74.1%(X^2=7.239、12.804、9.607、8.208,P<0.05)。结论临床对异位妊娠者以腹部、阴道联合检查确诊率较高,能有效判断患者异位妊娠病灶部位,联合检查患者病理类型检出率高,临床可推广应用。

Objective To analyze the feasibility of transabdominal and vaginal ultrasound for the diagnosis of ectopic pregnancy. Methods Convenient select a total of 58 female patients diagnosed as ectopic pregnancy were examined in the hospital from July 2016 to October 2017. All patients underwent transabdominal ultrasonography after vaginal ultrasonography.They were divided into two groups according to different clinical examination methods,（abdominal group, combined group）,58 patients in each group, with the final diagnosis as the gold standard, comparing the detection rate of ectopic pregnancy between the two groups, comparing the detection of different ectopic pregnancy sites, observing the patient’s false pregnancy diagnosis of different examination methods such as cyst, yolk sac, and pelvic fluid. Results The diagnosis rate of the combined group was 98.3%,higher than that of the abdomen group 82.8%（X^2=14.120, P〈0.05）. The diagnosis rate of the abdominal cavity, fallopian tube, cervix and broad ligament in the combined group was 100.0%, 97.7%, 100.0%, 100.0%. 80.0%,86.0%, 66.7%, 50.0%,higher than the abdominal group（X^2=22.222,6.068, 39.952, 66.667, P〈0.05）; combined group pseudopregnancy sac, yolk sac The diagnostic rate of the accessory mass and pelvic fluid was 17.2%, 50.0%, 93.1%, 89.7%,higher than the abdominal group 5.2%, 22.4%, 77.6%, 74.1%（X^2=7.239, 12.804,9.607, 8.208, P〈0.05）. Conclusion The clinical diagnosis of ectopic pregnancy is higher in the diagnosis of abdominal and vaginal examinations. It can effectively judge the location of ectopic pregnancy in patients. The detection rate of pathological types in patients with joint examination is high,and it can be promoted and applied clinically.