经阴道与腹腔彩色多普勒超声在异位妊娠中的应用价值比较

发布时间：2018-09-09 15:10

【摘要】：目的探讨经阴道与腹腔彩色多普勒超声在异位妊娠中的临床应用价值。方法选取2014年1月~2016年5月我院收治的80例异位妊娠患者作为研究对象,按照随机数字表法分为观察组和对照组,各40例。观察组实施经阴道超声检查,对照组行经腹部超声检查,比较两组的检查前准备耗时、检查耗时,统计两组的异位妊娠诊断率及所诊断异位妊娠的部位分布。结果观察组的检查前准备耗时为(1.9±0.4)min,显著短于对照组的(15.2±2.3)min,差异有统计学意义(P0.01)。观察组的检查耗时为(8.1±0.3)min,显著短于对照组的(10.1±0.5)min,差异有统计学意义(P0.01)。观察组的异位妊娠诊断率为97.5%,显著高于对照组的75.0%,差异有统计学意义(χ~2=6.746,P=0.009)。在两组的异位妊娠部位中,发生于输卵管最常见,均75.0%。结论经阴道超声检查能较快且准确地判断异位妊娠的发生,尤其对于腹部脂肪较厚者,其更具临床应用优势。
[Abstract]:Objective to evaluate the clinical value of transvaginal and abdominal color Doppler ultrasound in ectopic pregnancy. Methods from January 2014 to May 2016, 80 patients with ectopic pregnancy in our hospital were selected and divided into observation group (n = 40) and control group (n = 40). Transvaginal ultrasound was performed in the observation group and transabdominal ultrasound was performed in the control group. The preparation time and time consuming were compared between the two groups. The diagnostic rate of ectopic pregnancy and the location distribution of ectopic pregnancy in the two groups were calculated. Results the preparation time before examination in the observation group was (1.9 卤0.4) min, significantly shorter than that in the control group (15.2 卤2.3) min, (P0.01). The test time of the observation group was (8.1 卤0.3) min, significantly shorter than that of the control group (10.1 卤0.5) min, (P0.01). The diagnostic rate of ectopic pregnancy in the observation group was 97.5%, which was significantly higher than that in the control group (75.0%). The difference was statistically significant (蠂 ~ 2 + 6.746% P ~ (0.009). The most common ectopic pregnancy occurred in the oviduct in both groups (75.0%). Conclusion Transvaginal ultrasound can be used to determine the occurrence of ectopic pregnancy quickly and accurately, especially for those with thick abdominal fat.
【作者单位】：南京华世佳宝妇产医院超声科;
【分类号】：R714.22;R445.1

【相似文献】