摘要
目的探讨经腹与经阴道彩色多普勒超声在早期异位妊娠中的诊断价值的对比。方法选取该院2017年1月—2018年6月收治的异位妊娠患者50例为该研究对象,均经手术病理活检检查确诊,所有研究对象均进行经腹部彩色多普勒超声与经阴道彩色多普勒超声检查,对比经腹彩色多普勒超声与经阴道彩色多普勒超声检出率和对典型异位妊娠超声影像学检出率。结果经腹部彩色多普勒超声检出率78.00%明显低于经阴道彩色多普勒超声96.00%,差异有统计学意义(χ~2=14.323 6,P<0.05)。经阴道彩色多普勒超声对子宫内假孕囊、附件包块、原始心血管搏动、盆腔积液、胚芽检出率22.00%、92.00%、10.00%、90.00%、24.00%明显高于经腹彩色多普勒超声4.00%、78.00%、2.00%、62.00%、4.00%,差异有统计学意义(χ~2=14.323 6、7.686 3、5.673 8、21.491 2、17.785 8,P<0.05)。结论在早期诊断异位妊娠方面经阴道彩色多普勒超声比经腹部彩色多普勒超声更具优势,值得临床推广。
Objective To compare the diagnostic value of transabdominal and transvaginal color Doppler ultrasound in early ectopic pregnancy.Methods A total of 50 patients with ectopic pregnancy admitted to our hospital from January 2017 to June 2018 were enrolled in this study.All patients were diagnosed by surgical pathological biopsy.All subjects underwent transabdominal color Doppler ultrasound and transvaginal color.Doppler ultrasonography was performed to compare the detection rate of transabdominal color Doppler ultrasound with transvaginal color Doppler ultrasound and the imaging rate of typical ectopic pregnancy ultrasound imaging.Results The color detection rate of transabdominal color Doppler ultrasound was 78.00%,which was significantly lower than that of transvaginal color Doppler ultrasound(96.00%).The difference was statistically significant(χ^2=14.323 6,P<0.05).Transvaginal color Doppler ultrasound was used to detect intrauterine pseudopregnancy sac,accessory mass,original cardiovascular pulsation,pelvic fluid,and embryo detection rate of 22.00%,92.00%,10.00%,90.00%,and 24.00%.Color Doppler ultrasound 4.00%,78.00%,2.00%,62.00%,4.00%,the difference was statistically significant(χ^2=14.323 6,7.686 3,5.673 8,21.491 2,17.885 8,P<0.05).Conclusion Transvaginal color Doppler ultrasound is superior to transabdominal color Doppler ultrasound in early diagnosis of ectopic pregnancy and is worthy of clinical promotion.
作者
韩悦
HAN Yue(Department of Special Inspection,Dezhou People's Hospital,Dezhou,Shandong Province,253500 China)
出处
《系统医学》
2019年第6期7-9,共3页
Systems Medicine
关键词
经腹
经阴道
彩色多普勒超声
早期
异位妊娠中
诊断价值
Transabdominal
Transvaginal
Color Doppler ultrasound
Early
Ectopic pregnancy
Diagnostic value
