异位妊娠通过阴道超声和腹部超声检测技术的应用意义及对比效果

Application Significance and Contrast Effect of Ectopic Pregnancy through Vaginal Ultrasound and Abdominal Ultrasound Detection Technology

目的:通过对比阴道超声和腹部超声筛查对异位妊娠阳性检出率。方法:选择2014年1月至2018年10月内蒙古医科大学附属医院通过手术治疗后经病理诊断为异位妊娠的100例患者为研究对象,此100例患者无其他感染性疾病以及无先天性遗传疾病。术前将100例患者分别采用两种方法即阴道超声和腹部超声诊断技术,比较两种方法诊断的阳性率及超声图像中附件包块、盆腔积液、心血管搏动、假孕囊、胚芽检出率。在此声明得到伦理协会的认同并且患者具有知情权。评估标准为受精卵无在子宫内妊娠则为异位妊娠。结果:阴道超声诊断阳性符合率显著高于腹部超声诊断阳性符合率,差异有统计学意义(P <0.05)。阴道超声检测技术检测出的图像附件包块、盆腔积液、心血管搏动、假孕囊及胚芽检出率均高于腹部超声诊断技术,差异有统计学意义(P <0.05)。结论:经阴道超声在异位妊娠中诊断较腹部超声具有较高阳性符合率。

Objective:To compare the detection rate of ectopic pregnancy by comparing vaginal ultrasound and abdominal ultrasound screening.From January 2014 to October 2018,92 patients with pathological diagnosis of ectopic pregnancy were treated by surgical treatment at Inner Mongolia Medical University Affiliated Hospital as study subjects,100 patients were treated with vaginal ultrasound and abdominal ultrasound diagnostic techniques before surgery.The positive rate of diagnosis by contrast between the two methods and the attachment mass,pelvic fluid,cardiovascular pulsation,false,pregnancy sac and germ detection rate in the ultrasound image were compared.Results:The positive rate of vaginal ultrasound diagnosis was significantly higher than that of abdominal ultrasound diagnosis.The difference was statistically significant(P<0.05).The detection rate of image attachment mass,pelvic fluid,cardiovascular pulsation,pseudo-pregnancy sac and germ detected by vaginal ultrasonography was higher than that of abdominal ultrasound diagnosis,and the difference was statistically significant(P<0.05).Conclusion:Transvaginal ultrasound has a higher positive rate of diagnosis in ectopic pregnancy than abdominal ultrasound.