浅析腹部B超联合阴道B超在异位妊娠中的诊断应用.docVIP

精品论文 参考文献 浅析腹部B超联合阴道B超在异位妊娠中的诊断应用 1 大庆油田总医院 163000; 2鹤岗市人民医院 154101 【摘 要】 目的：研究分析腹部B超联合阴道B超在异位妊娠中的诊断价值。方法：此次研究的对象是选取2011年3月-2013年9月笔者所在医院收治的高度怀疑异位妊娠患者93例，将其临床资料进行回顾性分析，并随机分为两组，其中观察组47例，采用腹部B超联合阴道B超进行诊断，对照组46例，仅采用腹部B超进行诊断，所有患者最后均行手术切除并进行病理检查，观察并比较两组患者B超检查结果与手术直视结合病理检查的符合率。结果：经手术直视结合病理检查观察组共40例异位妊娠患者，B超检查检出39例（97.5%），对照组共37例异位妊娠患者，B超检查检出21例（56.8%），两组检查符合率比较差异有统计学意义（Plt;0.05）。结论：腹部B超联合阴道B超在异位妊娠中诊断价值高，检查符合率较高，值得在临床上予以推广。 【关键词】 腹部B超：阴道B超：异位妊娠 [Abstract] Objective： To study the diagnostic value of abdominal B ultrasound combined with transvaginal ultrasound in ectopic pregnancy.Methods： the research object is highly suspected ectopic from March 2011 -2013 year in September in our hospital 93 cases of pregnant，the retrospective analysis of the clinical data，were randomly divided into two groups，the observation group of 47 cases with abdominal B ultrasound combined with vaginal B ultrasound，46 cases in the control group were diagnosed by only abdominal sonography，all patients were underwent surgical resection and pathological examination，two groups were observed and compared the results of ultrasonic examination and surgery combined with the coincidence rate of pathological examination.Results： the pathological examination of patients in the observation group were 40 cases of ectopic pregnancy after surgery combined with ultrasonography detected 39 cases（97.5%），the control group of patients with a total of 37 cases of ectopic pregnancy，ultrasonography detected 21 cases（56.8%），the two group to check the coincidence rate was statistically significant（Plt;0.05）.Conclusion： abdominal B ultrasound combined with transvaginal ultrasound in the diagnosis of ectopic pregnancy，high diagnostic value，the rate is higher，it is worth to be popularized in clinical. [Key words] abdominal B ultrasound; transvaginal ultrasound; ectopic pregnancy 异位妊娠是指胚胎不着床与子宫内，在宫外发育的现象，有可能发生于输卵管、腹腔或卵巢等处，若不能得到及时发现将有可能造成盆腔大出血，威胁患者生命[1]。因此早期影像学诊断结果尤为重要，目前临床上主要通过