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目的:探讨经阴道超声检查在异位妊娠诊断中的应用价值。方法:随机选取我院自2011年5月至2013年5月收治的78例异位妊娠患者的临床资料进行回顾性分析,其中对照组42例异位妊娠患者选择经腹超声检查,观察组36例异位妊娠患者选择经阴道超声检查。比较两组患者异位妊娠检出率。结果:对照组经腹超声检出例32例,阳性检出率为76.19%。观察组经阴道超声检出34例,阳性检出率为94.44%。2组患者超声阳性检出率相比差异具有统计学意义(P<0.05)。经阴道超声对于妊囊型、包块型异位妊娠的检出率明显优于经腹部超声(P<0.05),而对于积液型异位妊娠的检出率相比差异无统计学意义(P>0.05)。结论:经阴道超声分辨率高,图像清晰,相比经腹超声,对诊断异位妊娠具有更高的临床价值。
Objective: To investigate the value of transvaginal ultrasonography in the diagnosis of ectopic pregnancy. Methods: The clinical data of 78 patients with ectopic pregnancy admitted to our hospital from May 2011 to May 2013 were retrospectively analyzed. The control group of 42 patients with ectopic pregnancy underwent transabdominal ultrasonography and the observation group 36 Cases of ectopic pregnancy choose transvaginal ultrasound. Ectopic pregnancy detection rate was compared between the two groups. Results: 32 cases were detected by transabdominal ultrasonography in the control group, the positive rate was 76.19%. In the observation group, 34 cases were detected by transvaginal sonography, the positive rate was 94.44%. The positive rate of ultrasound in two groups was statistically significant (P <0.05). Transvaginal ultrasonography showed that the positive rate of ectopic pregnancy was higher than that of transabdominal ultrasonography (P <0.05), while the positive rate of ectopic pregnancy was not statistically significant P> 0.05). Conclusion: Transvaginal ultrasonography has high resolution and clear image. Compared with transabdominal sonography, transvaginal sonography has higher clinical value in the diagnosis of ectopic pregnancy.