CAJ | 학술논문

目的：研究超声下对多种形式异位妊娠的鉴别诊断,并对其进行分析。选取我院住院部46例异位妊娠的患者为研究对象,对其进行超声检查,以病理检查为准对其超声图像进行回顾性分析,并进行比较。结果以手术病理证实为基准,异位妊娠可分为四种类型：破裂型、未破裂型、陈旧型以及流产型；超声对异位妊娠诊断的准确率为84.8%,误诊率为15.2%；与手术病理检查比较字2=7.4941,差异具有统计学意义；两种方式在对异位妊娠各类型的鉴别检查的比较上,P>0.05,差异无统计学意义。结论超声对异位妊娠的诊断具有高度临床价值,熟练掌握异位妊娠的典型超声征象、诊断的要点和依据,有利于提高确诊率,值得在临床进行推广使用。
목적：연구초성하대다충형식이위임신적감별진단,병대기진행분석。선취아원주원부46례이위임신적환자위연구대상,대기진행초성검사,이병리검사위준대기초성도상진행회고성분석,병진행비교。결과이수술병리증실위기준,이위임신가분위사충류형：파렬형、미파렬형、진구형이급유산형；초성대이위임신진단적준학솔위84.8%,오진솔위15.2%；여수술병리검사비교자2=7.4941,차이구유통계학의의；량충방식재대이위임신각류형적감별검사적비교상,P>0.05,차이무통계학의의。결론초성대이위임신적진단구유고도림상개치,숙련장악이위임신적전형초성정상、진단적요점화의거,유리우제고학진솔,치득재림상진행추엄사용。
Objective To study the ultrasound under the dif erential diagnosis of ectopic pregnancy for a variety of forms, and carries on the analysis. Methods Select our hospital in-patient department of 46 cases of ectopic pregnancy patients as the research object, on the ultrasound examination, the pathological examination shall prevail on the ultrasonic images were analyzed retrospectively, and compared. Results With surgical pathology confirmed as a benchmark, ectopic pregnancy can be divided into four types: fracture type, unruptured type, the old type and abortion type; Accuracy rate of ultrasonography in diagnosing ectopic pregnancy was 84.8%, the misdiagnosis rate was 15.2%; Compared with surgical pathologic examination chi-square = 7.4941, statistically significant dif erence; Two ways in every type of ectopic pregnancy to identify inspection comparison, > 0.05, there was no statistically significant dif erence. Conclusion Ultrasonography in the diagnosis of ectopic pregnancy with high clinical value, familiar with the typical ectopic pregnancy ultrasound manifestations, diagnosis, and the main points of the basis, to improve the diagnosis rate, is worth popularizing in clinical use.