目的:对腹部与阴道B超在异位妊娠诊断中的效果进行对比研究。方法:选取本院收治60例异位妊娠,均采取病理检查或者是手术检查,根据自愿原则分为腹部组(30)与阴道组(30),对比两组的诊断异位妊娠准确率。结果:阴道B超诊断符合率为96.67%,腹部B超诊断符合率为73.33%,阴道B超明显优于腹部B超(P<0.05);阴道B超检出附件包块概率、胚芽概率以及盆腔积液概率明显优于腹部B超(P<0.05)。结论:与腹部B超相比,阴道B超诊断符合率高,并且经阴道探查患者不需要充盈膀胱,受外界因素的影响小,具有临床应用价值。 Objective: To compare the effect of abdomen and vaginal ultrasonography in the diagnosis of ectopic pregnancy. Methods: 60 cases of ectopic pregnancy in our hospital were selected and pathologically or surgically examined. According to the voluntary principle, the patients were divided into abdominal group (30) and vaginal group (30). The diagnostic accuracy of ectopic pregnancy was compared between the two groups. Results: The coincidence rate of vaginal ultrasonography was 96.67%, the coincidence rate of abdominal ultrasonography was 73.33%, vaginal ultrasonography was superior to abdominal ultrasonography (P <0.05) The probability of pelvic fluid effusion was significantly better than the abdominal B ultrasound (P <0.05). Conclusion: Compared with abdominal B ultrasound, B-ultrasound diagnosis of vaginal coincidence rate, and the vaginal exploration of patients do not need to fill the bladder, the impact of external factors is small, with clinical value.