探讨阴道彩超联合腹部彩超在异位妊娠诊断中的应用

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1、探讨阴道彩超联合腹部彩超在异位妊娠诊断中的应用汤原县鹤立林业局职工医院154721目的：研宄分析阴道彩超联合腹部彩超在异位妊娠诊断中的应用效果。方法：此次研宄的对象是选择异位妊娠患者120例，将其临床资料进行回顾性分析，观察组使用阴道彩超联合腹部彩超进行检查，对照组单独使用阴道彩超检查，比较两组检查异位妊娠的效果。结果：观察组患者采用阴道彩超联合腹部彩超进行检查，120例患者中确诊为异位妊娠有115例，诊断的准确率95.83%。对照组采用阴道彩超检查，120例患者中确诊为异位妊娠的患者有87例，诊断的准确率为72.5%。观察组与对照组相比较，差异有统计学意义(P

2、<0.05)。子宫附件区包块、胚芽、胎心、卵黄囊、盆腔积液、子宫腔假孕囊等彩超扫描中，观察组扫描信号阳性率为95.83%(115/120)，对照组为78.33%(95/120)，观察组与对照组比较，差异有统计学意义(P<0.05)。结论：阴道彩超联合腹部彩超诊断异位妊娠准确率高，具有较高的临床价值，值得推广应用。关键词：异位妊娠；阴道彩超；腹部彩超；应用分析[Abstract]Objective：TostudytheeffectoftransvaginalcolorDopplerultrasoundcombinedwithabdominalultra

3、sonographyindiagnosisofectopicpregnancy.Methods：theobjectofthestudyisectopicpregnancyin120patients，theclinicaldatawereretrospectivelyanalyzed，theobservationgroupusingtransvaginalcolorDopplerultrasoundcombinedwithabdominalcolorDopplerultrasoundinspection,thecontrolgroupusingtransvagin

4、alcolorDopplerultrasoundexaminationalone,theeffectwascomparedbetweenthetwogroupsexaminationofectopicpregnancy.Results：theobservationgroupofpatientswithtransvaginalultrasoundcombinedwithabdominalultrasoundexamination，120caseswerediagnosedasectopicpregnancyin115cases,thediagnosticaccur

5、acyrateof95.83%.Inthecontrolgroup，87caseswerediagnosedasectopicpregnancybytransvaginalcolorDopplerultrasound，and120caseswerediagnosedas72.5%.Theobservationgroupcomparedwiththecontrolgroup，thedifferencewasstatisticallysignificant(P<0.05).Uterineadnexapiece,embryo,fetalheartandyolks

6、ac，pelviceffusionanduterinepregnancysacultrasoundscaninandobservationofscanningsignalpositiveratewas95.83%(115/120),78.33%(95/120).Theobservationgroupandthecontrolgroup,thedifferenceisstatisticallysignificant(P<0.05)inthecontrolgroup.Conclusion：transvaginalultrasoundcombinedwithab

7、dominalultrasoundinthediagnosisofectopicpregnancywithhighaccuracy，hasahighclinicalvalue,itisworthpopularizing.［Keywords］ectopicpregnancy;TransvaginalColorDopplerultrasound;abdominalcolorDopplerultrasound;applicationanalysis异位妊娠是一种比较常见的妇产科急腹症，妊娠妇女发生率大约为0.6%〜1%，近年来，随着经济发展和人们对性的需求，异位妊娠发

8、生率呈现逐年上升的趋势［