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目的评价经阴道超声对早期异位妊娠的临床诊断价值。方法对143例经手术证实异位妊娠患者的经阴道超声检查资料进行回顾性分析,并与手术及病理结果进行对比。结果经阴道超声检查143例,超声诊断符合率为95.8%;误诊6例(4.2%),包括输卵管妊娠3例,卵巢妊娠1例,宫角妊娠2例。结论经阴道超声对异位妊娠的的确诊率较高,但操作者的手法不当会造成误诊或漏诊,必要时需结合经腹超声综合分析。
Objective To evaluate the clinical value of transvaginal sonography in early ectopic pregnancy. Methods The data of transvaginal sonography in 143 cases of ectopic pregnancy confirmed by surgery were retrospectively analyzed and compared with the results of surgery and pathology. Results The results of transvaginal sonography were 143 cases. The coincidence rate of ultrasonic diagnosis was 95.8%. Six cases were misdiagnosed (4.2%), including 3 cases of tubal pregnancy, 1 case of ovary pregnancy and 2 cases of cornual pregnancy. Conclusions Transvaginal ultrasonography has a high diagnosis rate of ectopic pregnancy, but improper manipulation of the operator may result in misdiagnosis or missed diagnosis. Comprehensive analysis of transabdominal ultrasound should be used if necessary.