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目的分析经阴道超声与经腹超声检查宫外孕的优劣。方法 124例经手术及病理证实的宫外孕患者,依据检查方式的不同分为经阴道超声组和经腹超声组,各62例。观察两组超声检查结果 ,比较两种检查方法对不同包块的敏感性。结果经阴道超声组对包块直径<3 cm的敏感性(98.4%)显著高于经腹超声组(19.4%),差异具有统计学意义(P<0.05)。经阴道超声组对胚芽、盆腔积液、心管搏动、附件包块、宫内假孕囊的检出率均高于经腹超声组,差异均具有统计学意义(P<0.05)。结论两种检查方式各具优缺点,经阴道超声检查的敏感性较高,但是对于位置较高的包块,经阴道超声检查的敏感性较低。
Objective To analyze the advantages and disadvantages of transvaginal sonography and transabdominal sonography in ectopic pregnancy. Methods One hundred and twenty-four patients with ectopic pregnancy confirmed by operation and pathology were divided into transvaginal ultrasound group and transabdominal ultrasound group according to the examination method, each of 62 cases. The results of ultrasound examination were observed and the sensitivity of the two methods to different masses was compared. Results The sensitivity (98.4%) of the transvaginal ultrasound group to the diameter less than 3 cm was significantly higher than that of the transabdominal ultrasound group (19.4%), the difference was statistically significant (P <0.05). Transvaginal ultrasound group of germ, pelvic fluid, cardiac beats, annex mass, intrauterine false pregnancy rate were higher than the abdominal ultrasound group, the difference was statistically significant (P <0.05). Conclusion Both methods have their own advantages and disadvantages. Transvaginal ultrasonography is more sensitive, but transvaginal ultrasonography is less sensitive to the higher mass.