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目的探讨阴道超声联合腹部B超在异位妊娠诊断中的应用价值。方法选取2013年12月—2015年12月鹰潭市人民医院收治的异位妊娠患者80例,先后行阴道超声检查与腹部B超检查,比较阴道超声检查、腹部B超检查及联合检查(阴道超声联合腹部B超)诊断正确率、误诊率、漏诊率及附件包块、假妊娠囊、胚芽、盆腔积液检出率,观察阴道超声检查与腹部B超检查诊断时间及诊断到手术时间。结果阴道超声诊断正确率高于腹部B超,漏诊率、误诊率低于腹部B超,差异有统计学意义(P<0.05);联合检查诊断正确率高于阴道超声,漏诊率、误诊率低于阴道超声,差异有统计学意义(P<0.05)。阴道超声附件包块、假妊娠囊、胚芽、盆腔积液检出率高于腹部B超,差异有统计学意义(P<0.05);联合检查附件包块、假妊娠囊、胚芽、盆腔积液检出率高于阴道超声,差异有统计学意义(P<0.05)。阴道超声诊断时间、诊断到手术时间短于腹部B超,差异有统计学意义(P<0.05)。结论阴道超声较腹部B超在异位妊娠诊断中具有较高的应用价值,二者联用可提高诊断正确率及附件病变检出率,具有更高的应用价值。
Objective To investigate the value of vaginal ultrasound combined with abdominal ultrasound in the diagnosis of ectopic pregnancy. Methods Eighty patients with ectopic pregnancy admitted to Yingtan People’s Hospital from December 2013 to December 2015 were examined by vaginal ultrasonography and abdominal ultrasonography. Vaginal ultrasonography, abdominal ultrasonography and combined biopsy (vaginal ultrasonography Combined abdominal ultrasound) diagnostic accuracy, misdiagnosis rate, misdiagnosis rate and accessories mass, pseudocyst, germ, pelvic effusion detection rate, observation of vaginal ultrasound and abdominal B-ultrasound diagnosis time and diagnosis to surgery time. Results The diagnostic accuracy of vaginal ultrasound was higher than that of abdominal ultrasonography, the rate of misdiagnosis was lower than that of abdominal ultrasonography (P <0.05). The diagnostic accuracy of combined examination was higher than that of vaginal ultrasound, the rate of misdiagnosis was low In vaginal ultrasound, the difference was statistically significant (P <0.05). Vaginal ultrasound attachment mass, pseudocyst, germ, pelvic fluid detection rate was higher than the abdominal B-ultrasound, the difference was statistically significant (P <0.05); joint examination of adnexal mass, pseudocyst, germ, pelvic fluid The detection rate was higher than vaginal ultrasound, the difference was statistically significant (P <0.05). Vaginal ultrasound diagnosis time, diagnosed to surgery shorter than the abdominal B ultrasound, the difference was statistically significant (P <0.05). Conclusions Vaginal ultrasound is more valuable in the diagnosis of ectopic pregnancy than abdominal B ultrasound. The combination of the two methods can improve the diagnostic accuracy and the detection rate of accessory lesions, which has a higher value of application.