阴道彩超诊断异位妊娠的临床价值

目的探讨经阴道彩超检查对早期异位妊娠的诊断价值。方法对226例经阴道超声检查诊断为早期异位妊娠的超声声像图和临床资料进行回顾性分析。结果 226例经阴道超声检查诊断为异位妊娠的病例,218例与临床及病理诊断符合,诊断符合率为96.4%,漏诊率为1.77%(4/226),误诊率为1.77%(4/226)。结论经阴道彩超诊断异位妊娠技术操作简单,图像显示清晰,对异位妊娠的检出率非常高。同时对异位妊娠发生的部位定位较准确,对病变的进展程度也可作出相应的评价。

Clinical value of transvaginal color Doppler ultrasound in diagnosis of ectopic pregnancy

[Objective]To explore the diagnostic value of transvaginal color Doppler ultrasound examination for early ectopic pregnancy.[Methods]The ultrasound images and clinical data of 226 early ectopic pregnancy cases diagnosed by transvaginal color Doppler ultrasound were analyzed retrospectively.[Results]Among 226 early ectopic pregnancy cases diagnosed by transvaginal color Doppler ultrasound,218 cases accorded with the clinical and pathological diagnosis,the diagnostic accordance rate was 96.4%,the rate of missed diagnosis was 1.77%（4/226）,and the rate of misdiagnosis was 1.77%（4/226）.[Conclusion]The transvaginal color Doppler ultrasound in diagnosis of ectopic pregnancy has the advantages of simple operation,clear image display and high detection rate.Meanwhile,it can accurately determine the position of ectopic pregnancy,and make an appropriate evaluation on degree of disease.