经腹部及阴道超声对早期异位妊娠的诊断价值分析
郭亚美
（子长县人民医院，陕西 延安，717300）
浏览次数：122次 下载次数：388次
摘要：
目的 探讨经腹部和经阴道超声诊断早期异位妊娠的临床价值。方法 收集我院2010年6月至2016年6月收治的术前经腹部（TAS）和阴道超声（TVS）检查并术后经病理证实的68例早期异位妊娠患者的临床资料进行回顾性分析，比较经腹部超声和经阴道超声的诊断价值。结果 患者经TVS检查，出现附件包块、胚芽、原始心管搏动、盆腔积液、子宫内假孕囊等病情的概率均显著高于TAS检查（P<0.05）。经TAS检查与病理诊断的符合率为70.59%，低于经TVS检查的97.06%（P<0.05）。结论 经阴道超声检查在早期异位妊娠的诊治中能够弥补腹部超声检查的不足，可在临床上作为早期异位妊娠诊断的首选方法进行推广。
关键词：经腹部超声；经阴道超声；异位妊娠
中图分类号：R445.1文献标志码：A文章编号：2096-1413(2016)27-0153-02
The clinical value analysis of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of early ectopic pregnancy
GUO Ya-mei
(the People`s Hospital of Zichang County, Yan`an 717300, China)
ABSTRACT: Objective To investigate the clinical value of transabdominal sonography (TAS) and transvaginal sonography (TVS) in the diagnosis of early ectopic pregnancy. Methods The clinical data of 68 patients with early ectopic pregnancy who were diagnosed by TAS and TVS and confirmed by pathology after operation in our hospital from June 2010 to June 2016 were collected and retrospectively analyzed. Results The occurrence rates of adnexal masses, embryo, original heart beat, pelvic effusion, intrauterine pregnancy sac diagnosed by TVS were significantly higher than those of TAS respectively (P<0.05). The coincidence rate of TAS examination and pathological diagnosis was 70.59%, which was obviously lower than 97.06% of the TVS examination (P<0.05). Conclusion Transvaginal ultrasound examination can make up for the lack of abdominal ultrasound in the diagnosis of early ectopic pregnancy, which can be used as the first choice for the diagnosis of early ectopic pregnancy.
KEYWORDS: transabdominal ultrasound; transvaginal ultrasound; ectopic pregnancy
参考文献：
[1] 卢燕.经阴道彩超与经腹部超声用于早期异位妊娠诊断的比较[J]. 中国妇幼保健,2014,29(7):1054-1056.
[2] 佘颖,张蒂荣,王玥,等.经腹和经阴道彩色多普勒超声检查诊断早 期异位妊娠的临床分析[J].中国医药导刊,2014,13(6):954-955.
[3] 陈光艳,梁小红,曹霞,等.经阴道彩色多普勒超声检查对异位妊娠 的诊断价值[J].中国医学创新,2013,17(33):75-76.
[4] 王春梅,沈醒杭.经腹与经阴道彩色多普勒超声在早期异位妊娠中 的诊断价值的对比研究[J].中国性科学,2014,23(12):27-29.
[5] 华金才,黄健民.多普勒超声在异位妊娠孕囊与卵巢小黄体囊肿中 的诊断价值分析[J].中国妇幼保健,2014,29(4):609-611.
[6] 陈秋兰,翁纽周,曾丽娟.经腹部及经阴道超声在早期不同部位异 位妊娠诊断中的应用价值比较[J].中国当代医药,2015,22(5):108-110.
[7] 黄绮群.血清茁-HCG、孕酮测定联合经腹部彩色多普勒超声检查对 早期异位妊娠诊断价值的研究[J].包头医学院学报,2015,31(1):78-79.