对比经阴道与腹部彩色多普勒超声诊断早期异位妊娠准确率的差异(1)
摘要：目的 研究经阴道彩色多普勒超声与经腹彩色多普勒超声在早期异位妊娠诊断中的准确性差异。方法 收集了2014年3月～2016年3月我院收治的早期异位妊娠患者110例的临床资料，其中接受经阴道彩色多普勒超声与经腹彩色多普勒超声诊断的各有55例，分别记为TVCDS组与TACDS组，经术后病理证实后，计算两组的诊断准确率并进行对比。结果 经阴道彩色多普勒超声诊断准确率为92.73%，经腹彩色多普勒超声诊断准确率为66.36%，二者对比明显(χ2=12.369，P<0.05)，具有统计学意义。结论 经阴道彩色多普勒超声对于早期异位妊娠的诊断比经腹彩色多普勒超声对早期异位妊娠的诊断更为准确，应在临床诊断中加大应用力度。
关键词：经阴道彩色多普勒超声；经腹彩色多普勒超声；早期异位妊娠；诊断
Comparison of Transvaginal and Abdominal Color Doppler Ultrasonography in the Diagnosis of Early Ectopic Pregnancy Accuracy Differences
, 百拇医药
DENG Lin
(Department of Color Doctrine，Yuechi County Traditional Chinese Medicine Hospital，Guang'an 638300，Sichuan，China)
Abstract：Objective To study the transvaginal color doppler ultrasound and transabdominal color doppler ultrasound in the differences in the accuracy of early diagnosis of ectopic pregnancy.Methods The clinical data of 110 patients with early ectopic pregnancy in March 2014～2016 year in March in our hospital，which received transvaginal color doppler ultrasound and transabdominal color doppler ultrasound diagnosis of 55 cases each.They were recorded as TVCDS group and TACDS group，confirmed by pathology after operation，the calculation accuracy and diagnosis of the two groups were compared.Results Transvaginal color doppler ultrasound diagnostic accuracy rate was 92.73%，transabdominal color doppler ultrasound diagnosis accuracy rate is 66.36%，two contrast(X2=12.369，P<0.05)，with statistical significance.Conclusion Transvaginal color doppler ultrasonography is more accurate in the diagnosis of early ectopic pregnancy than in the diagnosis of early ectopic pregnancy by abdominal color doppler ultrasonography，and should be applied in clinical diagnosis.
, 百拇医药
Key words：Transvaginal color doppler sonography；Transabdominal color doppler ultrasound；Early ectopic pregnancy；Diagnosis
早期異位妊娠，通常称为“宫外孕”，是一种临床较为常见的妇产科急腹症类型，是由多种因素引起的受精卵于子宫外异常着床发育[1]。近年来，早期异位妊娠的发病率逐渐上升，对妇女造成极大影响，且病死率已经占据妇科相关妊娠死亡的9%～13%。由于其临床症状不显著，且发病的妇女的生命体征也不明显，使用一定的仪器设备进行辅助检查是十分必要的[2]。目前对早期异位妊娠的诊断主要依靠彩色多普勒超声诊断，有经阴道彩色多普勒超声与经腹彩色多普勒超声两种。本研究对经阴道彩色多普勒超声与经腹彩色多普勒超声在早期异位妊娠的诊断效果进行对比研究。
1 资料与方法
1.1一般资料 收集了2014年3月～2016年3月我院收治的经术后病理证实确诊为早期异位妊娠患者的临床资料，选取采用经阴道彩色多普勒超声与经腹彩色多普勒超声诊断的各55例，共110例。采用经阴道彩色多普勒超声诊断的记为TVCDS组，采用经腹彩色多普勒超声诊断的记为TACDS组。TVCDS组的55例患者，年龄23～42岁，平均年龄(28.22±5.6)岁，经产妇31例，初产妇24例，停经33～59 d；TACDS组的55例患者，年龄22～44岁，平均年龄(27.82±6.3)岁，经产妇33例，初产妇22例，停经35～59 d。两组患者的一般情况对比未呈现明显差异，不具有统计学意义(P>0.05)，具有临床可比性。两组患者均经尿检，妊娠检查结果全部呈阳性，两组孕妇均出现了不同程度的阴道流血状况，另有32例患者伴随轻微的下腹部疼痛症状，有6例患者是二次异位妊娠。本研究经患者及其家属同意，并自愿签署知情同意书。, 百拇医药(邓林)
关键词：经阴道彩色多普勒超声；经腹彩色多普勒超声；早期异位妊娠；诊断
Comparison of Transvaginal and Abdominal Color Doppler Ultrasonography in the Diagnosis of Early Ectopic Pregnancy Accuracy Differences
, 百拇医药
DENG Lin
(Department of Color Doctrine，Yuechi County Traditional Chinese Medicine Hospital，Guang'an 638300，Sichuan，China)
Abstract：Objective To study the transvaginal color doppler ultrasound and transabdominal color doppler ultrasound in the differences in the accuracy of early diagnosis of ectopic pregnancy.Methods The clinical data of 110 patients with early ectopic pregnancy in March 2014～2016 year in March in our hospital，which received transvaginal color doppler ultrasound and transabdominal color doppler ultrasound diagnosis of 55 cases each.They were recorded as TVCDS group and TACDS group，confirmed by pathology after operation，the calculation accuracy and diagnosis of the two groups were compared.Results Transvaginal color doppler ultrasound diagnostic accuracy rate was 92.73%，transabdominal color doppler ultrasound diagnosis accuracy rate is 66.36%，two contrast(X2=12.369，P<0.05)，with statistical significance.Conclusion Transvaginal color doppler ultrasonography is more accurate in the diagnosis of early ectopic pregnancy than in the diagnosis of early ectopic pregnancy by abdominal color doppler ultrasonography，and should be applied in clinical diagnosis.
, 百拇医药
Key words：Transvaginal color doppler sonography；Transabdominal color doppler ultrasound；Early ectopic pregnancy；Diagnosis
早期異位妊娠，通常称为“宫外孕”，是一种临床较为常见的妇产科急腹症类型，是由多种因素引起的受精卵于子宫外异常着床发育[1]。近年来，早期异位妊娠的发病率逐渐上升，对妇女造成极大影响，且病死率已经占据妇科相关妊娠死亡的9%～13%。由于其临床症状不显著，且发病的妇女的生命体征也不明显，使用一定的仪器设备进行辅助检查是十分必要的[2]。目前对早期异位妊娠的诊断主要依靠彩色多普勒超声诊断，有经阴道彩色多普勒超声与经腹彩色多普勒超声两种。本研究对经阴道彩色多普勒超声与经腹彩色多普勒超声在早期异位妊娠的诊断效果进行对比研究。
1 资料与方法
1.1一般资料 收集了2014年3月～2016年3月我院收治的经术后病理证实确诊为早期异位妊娠患者的临床资料，选取采用经阴道彩色多普勒超声与经腹彩色多普勒超声诊断的各55例，共110例。采用经阴道彩色多普勒超声诊断的记为TVCDS组，采用经腹彩色多普勒超声诊断的记为TACDS组。TVCDS组的55例患者，年龄23～42岁，平均年龄(28.22±5.6)岁，经产妇31例，初产妇24例，停经33～59 d；TACDS组的55例患者，年龄22～44岁，平均年龄(27.82±6.3)岁，经产妇33例，初产妇22例，停经35～59 d。两组患者的一般情况对比未呈现明显差异，不具有统计学意义(P>0.05)，具有临床可比性。两组患者均经尿检，妊娠检查结果全部呈阳性，两组孕妇均出现了不同程度的阴道流血状况，另有32例患者伴随轻微的下腹部疼痛症状，有6例患者是二次异位妊娠。本研究经患者及其家属同意，并自愿签署知情同意书。, 百拇医药(邓林)
参见：首页 > 保健版 > 家庭健康 > 女性保健 > 孕期保健