阴道B超与腹部B超诊断异位妊娠的价值对比

Comparison of the value of B-ultrasound and B-ultrasound in the diagnosis of ectopic pregnancy

目的:对比异位妊娠诊断中阴道B超与腹部B超的临床作用。方法:2017年8月-2018年6月收治异位妊娠患者113例,均经腹腔镜检查与清宫术后病理组织学检查确诊,术前均行阴道B超与腹部B超诊断。对比两种不同诊断方式异位妊娠检出率、超声分型情况。结果:阴道B超异位妊娠检出率显著高于腹部B超,差异有统计学意义(P<0.05)。超声分型中胎囊型、破裂型、陈旧型检出率阴道B超显著高于腹部B超,差异有统计学意义(P<0.05)。结论:相较于腹部B超诊断,阴道B超在异位妊娠诊断中的应用可获取更高异位妊娠与超声分型检出率。

Objective:To compare the clinical effect of vaginal B-ultrasound and abdominal B-ultrasound in the diagnosis of ectopic pregnancy.Methods:From Aug 2017 to Jun 2018,113 cases of ectopic pregnancy were selected,all of them were diagnosed by laparoscopy and pathological histology after hysterectomy,vaginal B-ultrasound and abdominal B-ultrasound were performed before operation.The detection rate and ultrasonic classification of ectopic pregnancy in different diagnostic methods were compared.Results:The detection rate of transvaginal B-ultrasound in ectopic pregnancy was significantly higher than that of abdominal B-ultrasound,the difference was statistically significant(P<0.05);The examination rate of fetal capsule type,ruptured type and old type in ultrasonic classification was significantly higher than that in abdominal B ultrasound,the difference was statistically significant(P<0.05).Conclusion:Compared with abdominal B-ultrasound diagnosis,the application of transvaginal ultrasonography in the diagnosis of ectopic pregnancy can be used to obtain the detection rate of higher heterotopic pregnancy and ultrasonic typing.