经腹和经阴道超声对纵隔子宫并早期妊娠的诊断分析

目的探讨经腹部超声（rrAS）和经阴道超声（TVS）对纵隔子宫早妊的诊断价值。方法将临床疑诊纵隔子宫并早妊且要终止妊娠的76例患者纳入研究，全部患者先后行TAS及TVS检查，并将超检查结果与术后结果进行比较分析。结果76例患者中，术后诊断纵隔子宫并早妊48例，宫角妊娠13例，偏心性宫内妊娠15例。TAS与TVS分别时纵隔子宫并早妊诊断的敏感性为81．2％、93．7％，特异性69．2％、88．6％，准确性88．3％、93．4％；两种检查途径的诊断准确率比较，TVS优于TAS，差异具有统计学意义（P〈0．05）。结论TVS是诊断纵隔子宫早妊的一种可靠检查方法，其敏感性、特异性、准确性均优于TAS，可在临床推广应用。

Ultrasound in diagnosis for septate uterus with early pregnancy

Objective To explore the clinical value of transabdominal ultrasound(TAS)and transvaginal ultrasound(TVS) in diagnosis for septate uterus with early pregnancy.Methods 76 patients suspected of the septate uterus with early pregnancy were enrolled in this study.Abortions to be performed were performed after TAS and TVS examination in all patients.Surgical results as a diagnostic gold standard,the inspection results were analyzed.Results There were 48 cases of septate uterus with early pregnancy,13 cases of cornual pregnancy,15 cases of eccentric intrauterine pregnancy.The merger between TAS and TVS septate uterus with early pregnancy,the sensitivity,specificity and accuracy were 81.2%,93.7%;69.2%,88.6%,88.3%,93.4%.There was significant difference(P<0.05)between the two methods.Conclusion TVS is a feasible way for diagnosis of septate uterus with early pregnancy,it is superior to abdominal ultrasound,and with important clinical value.