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目的探索经阴道超声检查对宫外孕的诊断意义。方法选择100例疑似宫外孕患者为研究对象,收治时间为2014年5月至2015年12月,对疑似宫外孕的100例患者分别进行阴道超声检查(观察组)和腹部超声检查(对照组),分析两组检查方式的敏感性、特异性、漏诊率、误诊率。结果 100例宫外孕患者中,经相关检验确诊为宫外孕患者90例,经阴道超声检查敏感度为92.22%,特异度为90.00%,漏诊率为7.78%,误诊率为10.00%,其和病理学检查结果比较差异未见统计学意义(P>0.05)。经阴道超声图像特点为:子宫旁可见包块,包块内有时可见妊娠囊,内偶可见胚芽及心血管搏动。结论经阴道超声检查在宫外孕患者的诊断效果确切。
Objective To explore the significance of transvaginal ultrasonography in the diagnosis of ectopic pregnancy. Methods One hundred patients with suspected ectopic pregnancy were selected as the study subjects. The duration of the ectopic pregnancy was from May 2014 to December 2015. Vaginal ultrasonography (observation group) and abdominal ultrasonography (control group) were performed on 100 patients suspected of ectopic pregnancy. The sensitivity, specificity, misdiagnosis rate and misdiagnosis rate of the two methods of examination. Results Among the 100 cases of ectopic pregnancy, 90 cases were diagnosed as ectopic pregnancy through correlation test. The sensitivity and specificity of transvaginal sonography were 92.22% and 90.00% respectively. The misdiagnosis rate was 10.00% and misdiagnosis rate was 10.00% The results showed no significant difference (P> 0.05). Transvaginal ultrasound image features: visible mass next to the uterus, mass may be seen within the gestational sac, the pupil can be seen within the germ and cardiovascular beats. Conclusion Transvaginal ultrasonography in patients with ectopic pregnancy diagnosis of the exact effect.