超声在异位妊娠诊断及治疗中的临床价值分析

目的探讨超声在异位妊娠诊断及治疗中的临床价值。方法回顾性分析2011年10月至2013年12月经手术和病理组织学检查确诊的异位妊娠118例的临床资料，术前均行经腹彩色多普勒超声检查和经阴道彩色多普勒超声检查．比较两种检查方法在异位妊娠中的诊断准确率及影像学表现检出率。结果经阴道彩色多普勒超声检查异位妊娠诊断准确率（98．3％）、原始心血管搏动检出率（16．1％）、胚芽检出率（24．6％）、盆腔积液检出率（97．5％）、附件区域包块检出率（99．2％）、子宫内假孕囊检出率（19．5％）均明显高于经腹彩色多普勒超声检查（78．8％、6．8％、8．5％、79．7％、82．2％、5．9％），差异均有统计学意义（P＜0．05）。结论经腹彩色多普勒超声检查和经阴道颗色多普勒超声检查均是异位妊娠的有效诊断方法，其中经阴道彩色多普勒超声检查的诊断准确率更高。

Clinical Value Analysis of Ultrasound in the Diagnosis and Treatment of Ectopie Pregnancy

Objective To investigate clinical value of ultrasound in the diagnosis and treatment of ectopic pregnancy. Methods The clinical data of 118 patients with ectopic pregnancy confirmed by operation and histopathological examination from October 2011 to December 2013 were retrospectively analyzed. All patients received transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound before operation, and the accuracy rate of diagnosis and detection rate of imaging findings were compared between two inspection methods. Results The diagnosis accuracy rate of transvaginal color Doppler ultrasound was 98.3 % of ectopic pregnancy, 16.1% of primitive cardiovascular pulsation, 24.6% of embryo, 97.5% of pelvic effusion, 99.2% of attachment region mass, and 19.5% of intrauterine pregnancy Sac; all the diagnosis accuracy rates of transvaginal color Doppler ultrasound were higher than those of transabdominal color Doppler ultrasound （78.8%, 6.8%, 8.5%, 79.7%, 82.2%, 5.9% respectively）; All P 〈0.05. Conclusions Transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound are effective methods in the diagnosis of ectopic pregnancy, but the diagnostic accuracy rate of transvaginal color Doppler ultrasound examination is higher.