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目的探讨经腹部超声(TAS)与经阴道超声(TVS)在异位妊娠诊断中的应用价值。方法回顾性分析我院2007年10月-2010年10月收治的110例异位妊娠患者的超声检查资料,对比两种超声检查方法的阳性确诊率。结果 TVS的阳性确诊率为98.2%,TAS的阳性确诊率为83.6%,两种检查方法比较有显著性差异(P<0.05);TVS对未破裂型和流产型异位妊娠的诊断明显优于TAS,而二者对破裂型异位妊娠的诊断则无统计学意义。结论经阴道超声检查对临床诊断异位妊娠具有较高的阳性确诊率,明显优于经腹部超声检查,可作为诊断早期异位妊娠的首选方法。
Objective To investigate the value of transabdominal ultrasound (TAS) and transvaginal ultrasound (TVS) in the diagnosis of ectopic pregnancy. Methods The data of 110 cases of ectopic pregnancy treated in our hospital from October 2007 to October 2010 were retrospectively analyzed. The positive diagnosis rate of the two kinds of ultrasonography was compared. Results The positive diagnosis rate of TVS was 98.2% and the positive diagnosis rate of TAS was 83.6%. There was significant difference between the two methods (P <0.05). The diagnosis of TVS for unruptured and aborted ectopic pregnancy was significantly better than that of TVS TAS, while the diagnosis of ruptured ectopic pregnancy was not statistically significant. Conclusions Transvaginal ultrasonography has a higher positive rate of clinical diagnosis of ectopic pregnancy, which is obviously superior to that of transabdominal ultrasonography. It may be the first choice for diagnosis of early ectopic pregnancy.