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目的:分析超声鉴别诊断和诊断异位妊娠的临床应用价值。方法:选取广州中医药大学祈福医院2013年10月至2015年10月经病理证实的88例异位妊娠患者经腹部或经阴道超声进行疾病检查,探查异位妊娠包块的大小、位置、形态等具体情况,分析超声检查异位妊娠的诊断和鉴别价值。结果:经超声诊断确诊的异位妊娠患者有83例,诊断符合率为94.3%,误诊率为5.7%;流产型23例、占26.1%,破裂型13例、占14.8%,未流产破裂型52例、占59.1%。结论:结合异位妊娠患者的具体病情进行分析,采用超声检查进行诊断和鉴别,可以有效减少误诊情况。
Objective: To analyze the clinical value of differential diagnosis and diagnosis of ectopic pregnancy. Methods: 88 cases of ectopic pregnancy confirmed by pathology from October 2013 to October 2015 at Prayu Hospital of Guangzhou University of Traditional Chinese Medicine were examined by abdominal or transvaginal sonography to investigate the size, location and morphology of ectopic pregnancy Specific circumstances, analysis of ectopic pregnancy ultrasound diagnosis and differential diagnosis value. Results: The diagnosis of ectopic pregnancy by ultrasonography in 83 patients, the diagnostic coincidence rate was 94.3%, misdiagnosis rate was 5.7%; miscarriage 23 cases, accounting for 26.1%, 13 cases of rupture, accounting for 14.8%, abortion rupture 52 cases, accounting for 59.1%. Conclusion: Combined with the specific conditions of patients with ectopic pregnancy, the use of ultrasound to diagnose and identify, can effectively reduce the misdiagnosis.