经腹部超声与经阴道彩色多普勒超声用于早期宫外孕诊断的临床价值分析

Clinical Value of Transabdominal Ultrasound and Transvaginal Color Doppler Sonography in Diagnosis of Early Ectopic Pregnancy

目的:探讨经腹部超声与经阴道彩色多普勒超声用于早期宫外孕诊断的临床价值。方法:选取2016年1月~2018年1月本院收治的宫外孕患者47例,均接受经腹部与经阴道超声检查,对比经腹部与经阴道超声早期宫外孕诊断符合率和孕囊显示时间、明确诊断时间以及宫外孕典型超声影像检出情况。结果:经阴道超声早期宫外孕诊断符合率93.62%和胚芽反射、子宫内假孕囊、原始心血管搏跳、盆腔积液、附件区团块检出率36.17%、27.66%、27.66%、91.49%、95.74%明显高于经腹部超声72.34%、12.77%、10.64%、8.51%、68.09%、82.98%;孕囊显示时间(30.29±10.24)min和明确诊断时间(41.52±11.38)min明显短于经腹部超声(41.36±11.77)min、(50.47±12.91)min,差异具有统计学意义(χ~2/t=16.0317、14.8132、9.3549、12.3773、16.9780、8.5622、4.8646、3.5653,P<0.05)。结论:经阴道超声早期宫外孕诊断的临床价值明显优于经腹部超声。

Objective: To investigate the clinical value of transabdominal ultrasound and transvaginal color Doppler ultrasound in the diagnosis of early ectopic pregnancy. Methods: Forty-seven patients with ectopic pregnancy admitted to our hospital(January 2016 to January 2018) were treated with transabdominal and transvaginal ultrasonography. The coincidence rate of ectopic pregnancy and transvaginal ultrasound were compared., to determine the diagnosis time and the detection of typical ultrasound images of ectopic pregnancy. Results: The diagnosis rate of early ectopic pregnancy by transvaginal ultrasound was 93.62% and the detection rate of germ reflex, intrauterine pseudopregnancy sac, primitive cardiovascular beat, pelvic fluid, and attachment area were 36.17%, 27.66%, 27.66%, and 91.49%. 95.74% was significantly higher than transabdominal ultrasound 72.34%, 12.77%, 10.64%, 8.51%, 68.09%, 82.98%;gestational sac display time(30.29±10.24) min and clear diagnosis time(41.52±11.38) min was significantly shorter than After abdominal ultrasound(41.36±11.77) min,(50.47±12.91) min, the difference was statistically significant(χ~2/t=16.0317, 14.8132, 9.3549, 12.37773, 16.9780, 8.5622, 4.8646, 3.5653, P<0.05). Conclusion: The clinical value of transvaginal ultrasound early ectopic pregnancy diagnosis is significantly better than transabdominal ultrasound.