经阴道超声在异位妊娠诊断中的临床价值分析

发布时间：2019-07-05 11:56

【摘要】：目的:探讨异位妊娠患者应用经阴道超声诊断的临床效果。方法:选取该院2012年5月~2013年5月收治的异位妊娠患者78例为研究对象,设为观察组。所有患者均行阴道超声检查(TVS)和经腹部超声(TAS)进行诊断,并与病理组织学检查结果进行对比,选取50例正常体检妇女为对照组。结果:经TVS诊断可发现胚芽、附件包块、盆腔积液、原始心血管搏动、子宫内假孕囊的检出率显著高于TAS,差异有统计学意义(P0.05)。TVS阳性确诊率为76例(97.44%),TAS阳性确诊率为68例(87.18%),两组患者阳性确诊率具有统计学差异(P0.05)。异位妊娠组子宫内膜厚度显著低于对照组,而子宫动脉RI值、螺旋动脉RI值显著高于正常对照组,差异有统计学意义(P0.05)。结论:与TAS相比,TVS对异位妊娠的确诊率显著提高,TVS具有安全、高效、快捷、无创、可多次重复检查的特点,具有较高的临床诊断价值。
[Abstract]:Objective: to investigate the clinical effect of transvaginal ultrasound in the diagnosis of ectopic pregnancy. Methods: 78 patients with ectopic pregnancy from May 2012 to May 2013 were selected as observation group. All patients were diagnosed by vaginal ultrasound (TVS) and transabdominal ultrasound (TAS), and compared with the results of pathological histology. 50 normal women were selected as the control group. Results: the detection rate of germ, adnexal mass, pelvic fluid, primitive cardiovascular pulsatile and uterine pseudopregnant capsule was significantly higher than that of TAS, (P 0.05). The positive diagnosis rate of devs was 76 cases (87.18%), and the positive diagnosis rate of the two groups was significantly different (P 0.05). The positive diagnosis rate of the two groups was significantly higher than that of the TAS, group (P 0.05). The positive diagnosis rate of the two groups was significantly higher than that of the control group (P < 0.05). The positive diagnosis rate of the two groups was significantly different (P 0.05). The intimal thickness of ectopic pregnancy group was significantly lower than that of control group, while the RI value of uterine artery and RI value of spiral artery were significantly higher than those of normal control group (P 0.05). Conclusion: compared with TAS, the diagnostic rate of TVS in ectopic pregnancy is significantly improved. TVS has the characteristics of safety, efficiency, rapidity, noninvasive, repeated examination, and has high clinical diagnostic value.
【作者单位】：山东省威海市立医院超声科;山东省威海市环翠区妇幼保健院超生科;山东省滨州医学院口腔科;
【分类号】：R714.22;R445.1

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