经阴道彩色多普勒超声诊断早期异位妊娠临床意义评价

目的:探讨和分析经阴道以及腹部彩色多普勒超声检查诊断早期异位妊娠的临床意义。方法:选取确诊早期异位妊娠的病人60例，均进行经阴道以及腹部彩色多普勒超声的检查，对病人影像学的超声检查报告结果进行分析，比较2种不同的影像学检查方法对早期异位妊娠病人的临床检出率。结果:60例早期异位妊娠的病人中，经腹部彩色多普勒超声检查的诊断正确率75.0%，漏诊率25.0%；经阴道彩色多普勒超声检查的诊断正确率为86.7%，漏诊率13.3%；2种检查方法差异有统计学意义（P<0.05）。经腹部彩色多普勒超声检查，子宫附件区即卵巢和输卵管处包块的检出率为73.3%，而经阴道彩色多普勒超声检查的检出率为90.0%，2种检查方法差异有统计学意义（P<0.01）。结论:选择使用阴道彩色多普勒超声检查早期异位妊娠具有较好的临床影像学诊断价值。

The clinical significance of transvaginal color Doppler ultrasound in the diagnosis of early ectopic pregnancy

Objective:To analyze the clinical significance of the abdominal and transvaginal color Doppler ultrasound in the diagnosis of early ectopic pregnancy.Methods:Sixty ectopic pregnancy patients were examined by the transvaginal and abdominal color Doppler ultrasound,the results of ultrasound examination were analyzed,and the detection rate of the early ectopic pregnancy between two kinds of imaging methods was compared.Results:Among 60 patients with ectopic pregnancy,the correct diagnosis and misdiagnosis rates of transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound were 75.0%,25.0% and 86.7%,13.3%,respectively,and the difference of which between two kinds of methods was statistically significant(P<0.05).The mass detection rates in ovary and oviduct of transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound were 73.3% and 90.0%,respectively,and the difference of which between two kinds of methods was statistically significant(P<0.01).Conclusions:The transvaginal color Doppler ultrasound in the diagnosis of early ectopic pregnancy has good imaging diagnostic value in clinic.