论文部分内容阅读
目的:分析研讨腹部超声结合阴道超声对提高异位妊娠诊断准确性的临床意义。方法:采用随机抽签方式,从我院2015年3月至2016年2月期间收治的异位妊娠患者中,抽取50例纳入到讨论中,此50例患者均接受腹部超声进行检查,给予对检查图像不满意者、漏诊、误诊者阴道超声检查,分析总结其检查结果。结果:采用腹部超声进行检查,50例患者中共43例患者得到确诊,占比为86%。5例胎囊型,31例为包块型,7例为宫内假孕囊。腹部超声检查共5例误诊,占比为10%,结合阴道超声进行检查,2例确诊为附件部位包块,2例确诊为宫角右侧妊娠,1例为输卵管右侧妊娠。腹部超声检查共2例漏诊,占比为4%,因检查者疏忽,仅检查出宫内妊娠,经阴道超声检查确诊为宫内外妊娠。共11例患者对超声图像不满意,占比为22%,再次给予阴道超声检查,其结果均较为满意。结论:临床在检查诊断异位妊娠疾病时,可考虑将腹部超声和阴道超声两者联合使用,可将检查准确性显著性提升。
Objective: To analyze the clinical significance of abdominal ultrasonography combined with vaginal ultrasound in improving the diagnostic accuracy of ectopic pregnancy. Methods: Fifty patients with ectopic pregnancy who were admitted to our hospital from March 2015 to February 2016 were included in the discussion by random sampling. All 50 patients underwent abdominal ultrasound examination, Unsatisfactory image, missed diagnosis, misdiagnosed vaginal ultrasound examination, analysis and summary of the test results. Results: Using abdominal ultrasound examination, a total of 43 patients were diagnosed in 50 patients, accounting for 86%. 5 cases of fetal sac type, 31 cases were mass type, 7 cases of intrauterine false pregnancy sac. Abdominal ultrasound examination of 5 cases were misdiagnosed, accounting for 10%, combined with vaginal ultrasound examination, 2 cases were diagnosed as appendage mass, 2 cases were diagnosed as cornual right pregnancy, 1 case of right tubal pregnancy. A total of 2 cases of abdominal ultrasound examination missed diagnosis, accounting for 4%, due to check the negligence, only check out intrauterine pregnancy, transvaginal ultrasound confirmed intrauterine and extrauterine pregnancy. A total of 11 patients were not satisfied with the ultrasound images, accounting for 22%, once again given vaginal ultrasound, the results were satisfactory. Conclusion: In clinical diagnosis and treatment of ectopic pregnancy disease, consider the combination of abdominal ultrasound and vaginal ultrasound both can significantly improve the accuracy of the test.