经腹及经阴道彩色多普勒超声诊断早期异位妊娠价值比较

Comparison of the value of transabdominal and transvaginal color Doppler ultrasound in the diagnosis of early ectopic pregnancy

目的:对比分析经腹彩超、经阴道彩超应用于异位妊娠的诊断价值。方法:以我院2019年9月—2020年12月期间收治的55例疑似早期异位妊娠患者均接受经腹、经阴道彩超检查,记录其经腹彩超、经阴道彩超检查结果及患者手术/随访确诊结果,计算经腹彩超、经阴道彩超对早期异位妊娠的诊断敏感性及特异性。结果:55例疑似早期异位妊娠患者中,经腹彩超诊断阳性率为61.82%、经阴道彩超诊断阳性率为78.18%,手术/随访确诊阳性率为83.64%,差异有统计学意义(P<0.05);经腹彩超对早期异位妊娠诊断敏感性为69.57%、特异性为77.78%,经阴道彩超对早期异位妊娠诊断敏感性为91.30%、特异性为88.89%。结论:应用经阴道彩超诊断早期异位妊娠敏感性、特异性均较高。

Objective To compare and analyze the diagnostic value of transabdominal and transvaginal ultrasound in ectopic pregnancy.Methods From September 2019 to December 2020,admitted during the period of 55 patients with suspected early ectopic pregnancy were examined by abdominal,transvaginal colour to exceed,record its abdominal colour to exceed,transvaginal colour to exceed examination results and patient operation/follow-up diagnosis results,calculation of abdominal colour to exceed,transvaginal colour to exceed,sensitivity and specificity to the diagnosis of early ectopic pregnancy.Results Among the 55 patients with suspected early ectopic pregnancy,the positive rate of abdominal color ultrasound diagnosis was 61.82%,the positive rate of vaginal color ultrasound diagnosis was 78.18%,the positive rate of surgery/follow-up diagnosis was 83.64%,and the data comparison was(P<0.05).The sensitivity and specificity of transvaginal ultrasonography to early ectopic pregnancy were 69.57%and 77.78%,respectively.The sensitivity and specificity of transvaginal ultrasonography to early ectopic pregnancy were 91.30%and 88.89%respectively.Conclusion The sensitivity and specificity of transvaginal ultrasonography in the diagnosis of early ectopic pregnancy are high.