经腹部超声与经阴道超声诊断早期异位妊娠对比分析

【摘要】目的:探讨经腹部超声与经阴道超声在早期异位妊娠诊断中的临床价值。方法:对80例早期异位妊娠患者的临床资料进行统计分析，依据诊断方法分为经阴道超声组（n=40）和经腹部超声组（n=40）两组，对两组患者的诊断阳性情况、典型影像学表现检出情况进行统计分析。结果:经阴道超声组患者诊断阳性率为92.5%（37/40），显著高于经腹部超声组的77.5%（31/40）（P<0.05），经阴道超声组附件区团块、盆腔积液、子宫内假孕囊、胚芽反射、原始心血管搏跳检出率分别为95.0%（38/40）、92.5%（37/40）、17.5%（7/40）、22.5%（9/40）、10.0%（4/40），均显著高于经腹部超声组的82.5%（33/40）、67.5%（27/40）、5.0%（2/40）、5.0%（2/40）、2.5%（1/40）（P<0.05）。结论:经阴道超声在早期异位妊娠诊断中的临床价值较经腹部超声高。

Comparative analysis of transabdominal ultrasound and transvaginal ultrasound in the diagnosis of early ectopic pregnancy

Abstract: Objective To investigate the diagnostic values of transabdominal ultrasound and transvaginal ultrasound in early ectopic pregnancy. Methods The clinical data of 80 patients with early ectopic pregnancy were statistically analyzed, and the patients were divided into transvaginal ultrasound group (n=40) and transabdominal ultrasound group (n=40) according to their diagnostic methods. The positive rate of diagnosis and typical imaging features in two groups were statistically analyzed. Results The positive rate of diagnosis by transvaginal ultrasound was 92.5% (37/40), significantly higher than 77.5% (31/40) obtained by transabdominal ultrasound (P<0.05). The detection rates of the adnexal mass, pelvic effusion, intrauterine pseudogestational sac, embryo reflex, primitive cardiovascular beats were 95.0% (38/40), 92.5% (37/40), 17.5% (7/40), 22.5% (9/40) and 10.0% (4/40) in transvaginal ultrasound group, which were significantly higher than 82.5% (33/40), 67.5% (27/40), 5.0% (2/40), 5.0% (2/40) and 2.5% (1/40) in transabdominal ultrasound group (P<0.05). Conclusion Compared with transabdominal ultrasound, transvaginal ultrasound has higher clinical value in the diagnosis of early ectopic pregnancy.