腹部超声与阴道超声在异位妊娠诊断中价值.docVIP

腹部超声与阴道超声在异位妊娠诊断中价值 　　[摘要] 目的：比较经腹部超声（TAS）与经阴道超声（TVS）在异位妊娠诊断中的价值，提高异位妊娠的早期诊断率。方法：对我院2005年6月～2009年6月收治的237例异位妊娠患者进行回顾性分析，比较两种超声检查方法的阳性确诊率。结果：237例中，91例经 TAS检查诊断异位妊娠74例，阳性确诊率为81.3%；80例经 TVS检查诊断异位妊娠75例，阳性确诊率为93.8%，66例经 TAS和 TVS联合诊断异位妊娠65例，阳性确诊率为98.5%。结论：TVS比TAS诊断异位妊娠更准确，两者联合应用能有效提高阳性确诊率。 　　[关键词] 异位妊娠；经腹部超声；经阴道超声 　　[中图分类号] R445.1 [文献标识码] B [文章编号] 1673-7210（2011）07（a）-095-02 　　 　　The value of abdominal ultrasound and vaginal ultrasound in the diagnosis of ectopic pregnancy 　　LIU Liqun, LIU Siqian 　　B ultrasonic Room, Fenggang Hospital of Dongguan City, Guangdong Province, Dongguan 523000, China 　　[Abstract] Objective: To compare the value of transabdominal ultrasound (TAS) and transvaginal ultrasound (TVS) in the diagnosis of ectopic pregnancy and improve the early diagnosis of ectopic pregnancy. Methods: To analyze the clinical data of 237 cases of ectopic pregnancy in our hospital from June 2005 to June 2009 retrospectively, compared positive diagnosis rate of two ultrasound methods. Results: 91 cases were given TAS examination of which 74 cases diagnosed, the positive diagnosis rate was 81.3%; 80 cases were given TVS examination of which 75 cases diagnosed, the positive diagnosis rate was 93.8%, 66 cases were given TVS and TAS examination of which 65 cases diagnosed, the positive diagnosis rate was 98.5%. Conclusion: The diagnosis rate of ectopic pregnancy of TVS is more accurate than TAS, their combination can increase the positive diagnosis rate. 　　[Key words] Ectopic pregnancy; Transabdominal ultrasound; Transvaginal ultrasound 　　 　　异位妊娠（ectopic pregnancy，EP）是指受精卵着床于子宫体腔以外部位的妊娠，包括输卵管妊娠、卵巢妊娠、腹腔妊娠、宫颈妊娠、残角子宫妊娠及剖宫产瘢痕处妊娠等[1]，是妇科急腹症中最常见的疾病之一。异位妊娠发病率占妊娠的0.5%～1.0%[2]，若不及时诊断治疗，破裂后可导致大出血，严重者危及生命。随着超声检查水平的提高，尤其???阴道超声，它有效地提高了异位妊娠的早期诊断率，为临床早期治疗争取了时间，目前已成为诊断异位妊娠最常用的检查方法之一[3]，为比较经腹部超声（transabdominal sonography，TAS）和经阴道超声（transvaginal sonography，TVS）在异位妊娠诊断中的价值，本文回顾分析了2005年6月～2009年6月在本院经TAS及经TVS 诊断的237例异位妊娠者的超声检查结果，现将结果报道如下： 　　1 资料与方法 　　1.1 一般资料 　　选取本院2005年6月～2009年6