CAJ | 학술논문

目的：比较异位妊娠患者经腹超声与经阴道超声检查结果，探讨经阴道超声诊断异位妊娠的临床价值。方法：选择2010年1月-2014年6月诊治的50例异位妊娠患者作为研究对象，均接受经腹超声和经阴道超声检查，比较两组异位妊娠声像图及诊断阳性率的差异。结果：经阴道超声组附件包块50.00%、胚芽22.00%、原始心管搏动16.00%、盆腔积液38.00%、子宫内假孕囊26.00%高于经腹超声组的28.00%、8.00%、4.00%、20.00%、10.00%，说明各种声像图表现阳性率均高于经腹超声组；诊断率92.00%高于经腹超声组的72.00%(P<0.05)。结论：经阴道超声检查异位妊娠各种声像图表现阳性率高，能够提高异位妊娠诊断正确性，在指导临床诊断异位妊娠中具有重要的应用价值。
목적：비교이위임신환자경복초성여경음도초성검사결과，탐토경음도초성진단이위임신적림상개치。방법：선택2010년1월-2014년6월진치적50례이위임신환자작위연구대상，균접수경복초성화경음도초성검사，비교량조이위임신성상도급진단양성솔적차이。결과：경음도초성조부건포괴50.00%、배아22.00%、원시심관박동16.00%、분강적액38.00%、자궁내가잉낭26.00%고우경복초성조적28.00%、8.00%、4.00%、20.00%、10.00%，설명각충성상도표현양성솔균고우경복초성조；진단솔92.00%고우경복초성조적72.00%(P<0.05)。결론：경음도초성검사이위임신각충성상도표현양성솔고，능구제고이위임신진단정학성，재지도림상진단이위임신중구유중요적응용개치。
Objective:To compare the rusults of patients with ectopic pregnancy by transabdominal ultrasound and transvaginal ultrasound examination, to explore the transvaginal ultrasound diagnosis of ectopic pregnancy clinical value.Method:50 ectopic pregnancy patients from January 2010 to June 2014 were selected as the research object,underwent transabdominal ultrasound and transvaginal ultrasonography,differences between the two groups of ectopic pregnancy ultrasound and the diagnostic positive rate were compared.Result:Adnexal of transvaginal ultrasound group was 50.00%,embryo primitive was 22.00%,heart tube pulse was 16.00%,pelvic effusion was 38.00%,the uterus false pregnancy sac was 26.00%,they were higher than transabdominal ultrasound 28.00%, 8.00%,4.00%,20.00%,10.00%,illustrate the various ultrasonographic positive rates were higher than transabdominal ultrasound,diagnosis rate was 92.00%higher than that of the abdominal ultrasound group 72.00%(P<0.05).Conclusion:Transvaginal ultrasonography of ectopic pregnancy sonographic manifestations is high positive rate,can improve the correct diagnosis of ectopic pregnancy,which has important application value in the clinical diagnosis of ectopic pregnancy in the guidance.