经腹二维和经阴道彩色多普勒超声对未破裂型宫外孕对比分析.docVIP

经腹二维和经阴道彩色多普勒超声对未破裂型宫外孕对比分析 　　[摘要] 目的：探讨经腹二维与经阴道彩色多普勒超声对未破裂型宫外孕诊断效果及临床价值。方法：采用经腹二维与经阴道彩色多普勒超声检查未破裂型宫外孕患者，并将诊断结果与术后病理对照。结果：经阴道彩色多普勒超声诊断准确率显著高于经腹二维超声的诊断结果（P0.05）。经阴道彩超，除附件混合包块诊断部分外，其他诊断方面均显著优于经腹二维超声法（P0.05）。结论：经阴道彩色多普勒超声诊断未破裂型宫外孕效果优于经腹二维超声，有较好的临床应用价值。 　　[关键词] 经腹二维超声；经阴道彩色多普勒；未破裂型宫外孕 　　[中图分类号] R445.1 [文献标识码]C [文章编号]1673-7210（2011）04（b）-080-02 　　 　　Contrast analysis of unruptured ectopic pregnancy: abdominal two-dimensional ultrasound vs transvaginal color Doppler imaging 　　LU Liping, DENG Ying 　　Nanhai Peoples Hospital of Foshan City, Guangdong Province, Foshan 528200, China 　　[Abstract] Objective: To explore the effect and the clinical value of the belly of the two-dimensional and by transvaginal color Doppler ultrasound to diagnosis the unruptuerd ectopic pregnancy. Methods: Using the belly of the two-dimensional and by transvaginal color doppler ultrasound to diagnosis the unruptuerd ectopic pregnancy, and the diagnosis was confronted with pathological. Results: The diagnosis accuracy rate by transvaginal color Doppler ultrasound was significantly higher than the belly of the two-dimensional ultrasound (P0.05). Except the mixed bag of the annex, by transvaginal color Doppler was significant than the belly of the two-dimensional ultrasound (P0.05). Conclusion: By transvaginal color Doppler ultrasound to diagnosis the unruptuerd ectopic pregnancy is value in clinical application. 　　[Key words] Belly of the two-dimensional; By transvaginal color Doppler ultrasound; Unruptuerd ectopic pregnancy 　　 　　宫外孕是妇产科常见病及多发病，近年来发病率有上升趋势[1]。超声检查在宫外孕诊断中得到广泛认可，尤其是对破裂型宫外孕，确诊率几乎达到100%。然而，对于早期未破裂型宫外孕，以往的经腹二维超声检查和近年来发展的经阴道超声检查，诊断准确性均不高，并有误诊和漏诊发生[2]。如果能对未破裂型宫外孕早期诊断，将对临床选择治疗方案及保障患者生命安全起到重要作用[3]。本文应用经腹二维超声和经阴道彩色多普勒超声对未破裂型宫外孕患者进行诊断，并对两种方法的诊断效果进行比较分析，并探讨其临床应用价值。 　　1 资料与方法 　　1.1 一般资料 　　选取我院2005年1月~2009年12月间妇科门诊及住院患者中确诊为未破裂型宫外孕者73例，患者年龄18~43岁，停经天数33~49 d，平均34.1 d。患者中67例血HCG均有不同程度的增高、25例尿HCG阳性、42例弱阳性、6例阴性；25例伴有不规则阴道出血，32例伴轻微腹痛，另有16例无明显症状。将患者分成两组，实验组40例，行经阴道彩色多普勒超声检查；对照组33例，行传统的经腹二