128例经阴道超声检查诊断异位妊娠的临床分析

发布时间：2018-08-03 10:38

【摘要】：目的研究经阴道超声检查对异位妊娠患者的诊断价值。方法纳入青岛经济技术开发区第一人民医院2014年9月至2016年9月期间收治的128例异位妊娠患者作为研究对象,所有患者按入院顺序分为两组。经腹组43例采用经腹部超声检查进行诊断,经阴组85例采用经阴道超声检查进行诊断。观察两种检查方式对异位妊娠的诊断率以及对不同类型异位妊娠的诊断情况。结果经阴组、经腹组患者对异位妊娠确诊率分别为97.53%、79.07%,经阴组对异位妊娠确诊率明显更高(P0.05)。经阴道超声检查共诊断异位妊娠患者81例,其中输卵管妊娠79例(96.67%),卵巢妊娠1例(1.23%),宫角妊娠1例(1.23%)。未破裂型4例(6.67%);破裂型71例(87.65%);陈旧型6例(7.41%)。两种检查方式在衰减包块型输卵管妊娠、混合包块型输卵管妊娠、实性包块型输卵管妊娠以及漂浮型输卵管妊娠上有明显差异(P0.05);且经阴组检查各异位妊娠类型诊断率明显高于经腹组(P0.05)。结论相对于经腹部超声检查而言经阴道超声检查对异位妊娠诊断率和不同类型判断更准确。
[Abstract]:Objective to study the diagnostic value of transvaginal ultrasound in ectopic pregnancy. Methods 128 patients with ectopic pregnancy admitted from September 2014 to September 2016 in the first people's Hospital of Qingdao Economic and technological Development Zone were included in the study. All the patients were divided into two groups according to the order of admission. Transabdominal ultrasonography was performed in 43 cases in the transabdominal group and transvaginal ultrasound in 85 cases in the transvaginal group. The diagnostic rate of ectopic pregnancy and the diagnosis of different types of ectopic pregnancy were observed. Results the diagnostic rate of ectopic pregnancy was 97.53 in the transvaginal group and 79.07 in the abdominal group respectively. The diagnostic rate of ectopic pregnancy in the transvaginal group was significantly higher than that in the transvaginal group (P0.05). 81 cases of ectopic pregnancy were diagnosed by transvaginal ultrasound, including 79 cases of tubal pregnancy (96.67%), 1 case of ovarian pregnancy (1.23%) and 1 case of uterine horn pregnancy (1.23%). There were 4 cases of unruptured type (6.67%), 71 cases of ruptured type (87.65%) and 6 cases of old type (7.41%). The two kinds of examination methods are attenuation lumped tubal pregnancy, mixed clump tubal pregnancy, There was significant difference in solid tubal pregnancy and floating tubal pregnancy (P0.05), and the diagnostic rate of each ectopic pregnancy type in transvaginal group was significantly higher than that in transabdominal group (P0.05). Conclusion Transvaginal ultrasonography is more accurate than transabdominal ultrasonography in diagnosing ectopic pregnancy.
【作者单位】：青岛经济技术开发区第一人民医院;
【分类号】：R445.1;R714.22

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