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目的对比分析经腹部超声与经阴道超声诊断宫外孕的临床价值。方法 81例宫外孕患者,均经腹部超声与经阴道超声检查,对比两种方法对宫外孕的诊断情况。结果 81例宫外孕患者的超声诊断中,经腹部超声的检查确诊49例,诊断符合率为60.49%;经阴道超声的检查确诊78例,诊断符合率为96.30%,比较差异有统计学意义(P<0.05);经阴道超声对附件包块、胚芽、胎芽搏动的显示阳性率均大于经腹部超声,差异有统计学意义(P<0.05);两种检查方法盆腔积液、子宫内假孕囊显示阳性率比较,差异无统计学意义(P>0.05)。结论经阴道超声诊断宫外孕的临床价值大于经腹部超声,对病理性组织结构的显示阳性率较高,且操作简便,值得临床推广使用。
Objective To compare the clinical value of transvaginal ultrasound and transvaginal ultrasound in the diagnosis of ectopic pregnancy. Methods Totally 81 cases of ectopic pregnancy were examined by abdominal ultrasonography and transvaginal ultrasonography. The diagnostic methods of ectopic pregnancy were compared between the two methods. Results 81 cases of ectopic pregnancy in patients with ultrasound diagnosis, abdominal ultrasound confirmed 49 cases, the diagnostic coincidence rate was 60.49%; transvaginal ultrasound examination confirmed 78 cases, the diagnostic coincidence rate was 96.30%, the difference was statistically significant (P <0.05). Transvaginal ultrasonography showed that the positive rate of appendix mass, embryo and fetal pulsation was higher than that of transabdominal ultrasonography (P <0.05). There were no significant differences in pelvic effusion, intrauterine pseudo- Show positive rate comparison, the difference was not statistically significant (P> 0.05). Conclusion The clinical value of transvaginal ultrasound in the diagnosis of ectopic pregnancy is greater than that of transabdominal ultrasound. The positive rate of pathological tissue structure is high, and the operation is simple and convenient, which is worthy of clinical application.