腹部超声与阴道超声在异位妊娠诊断中的应用价值比较 魏颖.docVIP

精品论文 参考文献 腹部超声与阴道超声在异位妊娠诊断中的应用价值比较 魏颖 魏颖 都江堰市人民医院特检科 611830 【摘要】：探讨和分析腹部超声与阴道超声在异位妊娠临床诊断中的价值。方法：回顾性分析2013年1月至2014年6月我院收治的68例疑似异位妊娠患者的临床资料，随机分为两组，其中对照组（34例）采用腹部超声检查，研究组（34例）采用腹部超声联合阴道超声检查。比较分析两组患者的检查结果。结果：对照组临床确诊32例，诊断确诊24例，阳性确诊率为75%，研究组临床确诊29例，诊断确诊28例，阳性确诊率为96.5%，研究组阳性准确率显著由于对照组，具有统计学的差异（Plt;0.05）。结论：腹部超声和阴道超声对于异位妊娠的诊断各具优势，但腹部超声联合阴道超声具有较高的准确率，更易检出阳性影像学，有效改善患者预后，可为临床诊断、治疗提供更多有价值信息。 【??键词】腹部超声；阴道超声；异位妊娠 Abstract: Discussion and analysis of abdominal ultrasound and vaginal ultrasound in clinical diagnosis of ectopic pregnancy. Methods: A retrospective analysis of clinical data from January 2013 to June 2014 in our hospital 68 cases of suspected ectopic pregnancy were randomly divided into two groups, one of which is the control group (34 cases), using abdominal ultrasound, study group (34 cases) of abdominal ultrasound combined with transvaginal ultrasound. Comparative analysis of inspection results of two patients. Results: In control group, the clinical diagnosis is 32 cases, the diagnosis confirmed is 24 cases, the positive diagnosis rate is 75 percent, the study group were diagnosed 29 cases, the diagnosis confirmed is 28 cases, the positive diagnosis rate is 96.5%, positive accuracy of the study group was significantly due to the control group, with a statistical difference (P lt;0.05). Conclusions: abdominal ultrasound and transvaginal ultrasound for diagnosis of ectopic pregnancy have their own advantages, but abdominal ultrasound combined with transvaginal ultrasound has a high accuracy rate, more positive imaging detection, effectively improve the prognosis of patients, for clinical diagnosis, therapy and more much valuable information. Keywords: Abdominal ultrasound; Transvaginal ultrasound; Ectopic Pregnancy 正常妊娠时，受精卵应着床于子宫腔前后壁或宫底的内膜中，若受精卵着床于正常子宫腔内以外的其他地方，称为异位妊娠（EP），是妇产科常见的一种急腹症。发病率约占所有妊娠妇女的0.5%～1%，以输卵管妊娠最为常见，其严重威胁妇女的健康和生育功能，是造成孕妇死亡的原因之一。因此及时准确的诊断与治疗，对于降低患者患者风险以及预后显得至关重要。超声检查凭借其无创、安全、可重复操作等特点，目前已成为临床上一种重要的妊娠影像学检查方法[1]。其中使用较广的为腹部超声和阴道超声，为探讨和分析两种超声检