CAJ | 학술논문

目的：探讨子宫内特殊部位异位妊娠的超声诊断分析及鉴别。方法选择60例疑似宫内特殊部位异位妊娠患者分别经腹超声和经阴道超声诊断，分析超声检查结果并与手术病理情况相对照。结果阴道超声的准确性高于腹超声（P＜0．05）；阴道超声的灵敏度、特异性、阳性预测值、阴性预测值高于腹超声（P＞0．05）；阴道超声在宫角妊娠、瘢痕妊娠、宫颈妊娠、峡部妊娠、间质部妊娠方面的准确率均高于腹超声（P＞0．05）。结论经腹超声及经阴道超声均为诊断特殊部位异位妊娠的有效方法，经阴道超声的准确率更高。
목적：탐토자궁내특수부위이위임신적초성진단분석급감별。방법선택60례의사궁내특수부위이위임신환자분별경복초성화경음도초성진단，분석초성검사결과병여수술병리정황상대조。결과음도초성적준학성고우복초성（P＜0．05）；음도초성적령민도、특이성、양성예측치、음성예측치고우복초성（P＞0．05）；음도초성재궁각임신、반흔임신、궁경임신、협부임신、간질부임신방면적준학솔균고우복초성（P＞0．05）。결론경복초성급경음도초성균위진단특수부위이위임신적유효방법，경음도초성적준학솔경고。
Objective To investigate ultrasonic diagnosis and differentiation of ectopic pregnancy.Methods Sixty cases of suspected intrauterine specific ectopic pregnancy were selected to take transabdominal and transvaginal ultrasound examinations.Ultrasound results were analyzed and compared with the surgical pathological results.Results Transvaginal ultrasound was more accurate than transab-dominal ultrasound(P<0.05 ).Sensitivity,specificity,positive predictive value,negative predictive value of transvaginal ultrasound were higher than those of transabdominal ultrasound(P>0.05).Accuracies of transvaginal ultrasound on uterine horn pregnancy,scar pregnancy,cervical pregnancy,isthmus pregnancy,interstitial pregnancy were higher than transabdominal ultrasound(P>0.05 ).Con-clusions Transabdominal and transvaginal ultrasound are effective methods to diagnose and differentiate ectopic pregnancy,and trans-vaginal ultrasound had higher accuracy.