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目的探讨异位妊娠的超声诊断方法。方法对92例可疑异位妊娠患者同时采用腹部彩色多普勒超声与经阴道彩色多普勒超声检查,观察两种检查方法在确诊异位妊娠上的效果。结果阴道彩色多普勒超声在提示附件包块、子宫外妊娠囊、输卵管环、盆腔积液等方面均优于腹部彩色超声,诊断符合率也明显高于腹部彩色超声(P<0.05)。结论经阴道彩色多普勒超声早期诊断异位妊娠准确率高,为及早发现未破裂的异位妊娠包块,挽救妇女生育能力的有效措施,值得推广应用。
Objective To investigate the ultrasonic diagnosis of ectopic pregnancy. Methods Totally 92 patients with suspected ectopic pregnancy underwent both abdominal color Doppler ultrasound and transvaginal color Doppler ultrasonography to observe the effect of the two methods on ectopic pregnancy. Results Vaginal color Doppler ultrasound was superior to abdomen color ultrasound in the aspects of mass, ectopic pregnancy, tubal ring and pelvic effusion. The diagnostic coincidence rate was also significantly higher than that of abdominal color ultrasound (P <0.05). Conclusion The accuracy of early diagnosis of ectopic pregnancy by transvaginal color Doppler ultrasound is an effective measure for early detection of unruptured ectopic pregnancy mass and saving the reproductive capacity of women and is worth popularizing and applying.