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阴道超声联合腹部彩色多普勒超声用于宫外孕诊断中的价值 预览

Value of transvaginal ultrasound combined with abdominal color Doppler ultrasound in the diagnosis of ectopic pregnancy
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摘要 目的研究阴道超声联合腹部彩色多普勒超声在宫外孕诊断中的应用价值。方法于2014年7月~2017年8月选取本院宫外孕患者83例,分别采用阴道超声检查、腹部彩色多普勒超声检查和两者联合检查,观察并分析三种检查方式的诊断结果、诊断符合率和漏诊率。结果阴道超声的卵黄囊、胎芽、心管搏动等阳性检出率显著高于腹部彩色多普勒超声,差异有统计学意义(P<0.05);三组诊断符合率比较,阴道超声联合腹部彩色多普勒超声检查显著高于阴道超声检查,阴道超声联合腹部彩色多普勒超声检查显著高于腹部彩色多普勒超声检查,差异具有统计学意义(P<0.05)。结论阴道超声联合腹部彩色多普勒超声应用在宫外孕检查诊断中,可有效提高宫外孕的诊断符合率和准确率,减少漏诊、误诊现象,具有临床推广价值。 Objective To study the application value of vaginal ultrasound combined with abdominal color Doppler ultrasound in the diagnosis of ectopic pregnancy. Methods From July 2014 to August 2017, 83 patients with ectopic pregnancy in our hospital were selected. Vaginal ultrasonography, abdominal color Doppler ultrasonography, and joint examination of the two methods were used for examination. The diagnosis results, diagnostic compliance rate and missed diagnosis rate of the three examination methods were observed and analyzed. Results The positive detection rates of yolk sac, fetal bud and cardiac tube pulsation of vaginal ultrasound were significantly higher than those of abdominal color Doppler ultrasound. The difference between the two groups was statistically significant(P<0.05);the diagnostic compliance rates were compared among the three groups. The vaginal ultrasound combined with abdominal color Doppler ultrasonography was significantly higher than vaginal ultrasound in terms of the diagnostic compliance rate,and vaginal ultrasound combined with abdominal color Doppler ultrasonography was significantly higher than abdominal color Doppler ultrasonography in terms of the diagnostic compliance rate. The differences were statistically significant(P<0.05). Conclusion Vaginal ultrasound combined with abdominal color Doppler ultrasound in the diagnosis of ectopic pregnancy can effectively improve the diagnostic compliance rate and accuracy of ectopic pregnancy and reduce missed diagnosis and misdiagnosis, which has a clinical promotion value.
作者 邓菊芳 DENG Jufang(Room of Color Ultrasound, Ruijin People’s Hospital in Jiangxi Province, Ruijin 342500, China)
出处 《中国现代医生》 2019年第18期97-99,共3页 China Modern Doctor
关键词 宫外孕 阴道超声 腹部彩色多普勒超声 诊断符合率 Ectopic pregnancy Vaginal ultrasound Abdominal color Doppler ultrasound Diagnostic compliance rate
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