CAJ | 학술논문

目的：探讨腹部彩超与阴道彩超联合应用诊断宫外孕的临床价值。方法收集2012年1～12月疑诊宫外孕并经手术病理证实为宫外孕的110例患者的超声检查资料进行分析。结果经腹部彩超诊断为宫外孕64例，与手术病理诊断符合率为60％（64/110）；经阴道彩超诊断为宫外孕95例，与手术病理诊断符合率为86％（95/110）；经腹部彩超及阴道彩超联合应用诊断为宫外孕106例，与手术病理诊断符合率96％（106/110）。结论对疑诊宫外孕患者，在行腹部彩超检查时，应结合阴道彩超，二者联合应用是早期诊断宫外孕较为有效的方法，对临床及时治疗具有重要的意义。
목적：탐토복부채초여음도채초연합응용진단궁외잉적림상개치。방법수집2012년1～12월의진궁외잉병경수술병리증실위궁외잉적110례환자적초성검사자료진행분석。결과경복부채초진단위궁외잉64례，여수술병리진단부합솔위60％（64/110）；경음도채초진단위궁외잉95례，여수술병리진단부합솔위86％（95/110）；경복부채초급음도채초연합응용진단위궁외잉106례，여수술병리진단부합솔96％（106/110）。결론대의진궁외잉환자，재행복부채초검사시，응결합음도채초，이자연합응용시조기진단궁외잉교위유효적방법，대림상급시치료구유중요적의의。
Objective To explore the clinical value about the combined application of abdominal and vaginal Colour Doppler for early ectopic pregnancy diagnosis.Methods Ultrasound data of 110 cases who were suspected di-agnosis of ectopic pregnancy then confirmed by surgery and pathology were collected and analyzed retrospectively from January 2012 to December 2012.Results Sixty and four in 110 cases were diagnosed as ectopic pregnancy by abdominal Colour Doppler,and the result consistent rate was 60%(64/110)compared with surgical pathology diagno-sis.Ninety and five in 110 cases were diagnosed as ectopic pregnancy by vaginal Colour Doppler,and the result con-sistent rate was 86%(95/110)compared with surgical pathology diagnosis.106 in 110 cases were diagnosed as ectop-ic pregnancy by abdominal and vaginal Colour Doppler,and the result consistent rate was 96%(106/110)compared with surgical pathology diagnosis.Conclusion For patients suspected to have ectopic pregnancy,abdominal Colour Doppler examination should be combined with vaginal Colour Doppler,the combined application is an effective method for early diagnosis of ectopic pregnancy,it is important to carry the clinical treatment immediately.