中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
12期
27-29
,共3页
经阴道彩色多普勒超声%早期诊断%异位妊娠
經陰道綵色多普勒超聲%早期診斷%異位妊娠
경음도채색다보륵초성%조기진단%이위임신
Transvaginal color doppler ultrasound%Early diagnosis%Ectopic pregnancy
目的：探讨经阴道彩色多普勒超声在早期诊断异位妊娠中的临床应用情况。方法：收集本院2011年10月至2012年10月期间经临床确诊的异位妊娠患者90例的临床资料，且该90例患者均在早期进行过经腹部彩超及经阴道彩超检查，对两种早期彩超检查方法的临床诊断准确率情况进行比较性分析。结果：该组患者经腹部彩色多普勒超声检查的临床诊断准确率为77.78％，经阴道彩色多普勒超声检查的临床诊断准确率为96.67％，经阴道彩色多普勒超声检查的临床诊断准确率明显高于经腹部彩色多普勒超声检查（χ2＝14.41，P＜0.05），有统计学意义。经阴道彩色多普勒超声检查的各种典型异位妊娠超声影像学表现（胚芽、盆腔积液、原始心血管搏动、附件包块、子宫内假孕囊）检出率均显著高于经腹部彩色多普勒超声检查，P＜0.05，有统计学意义。结论：经阴道彩色多普勒超声在早期诊断异位妊娠方面较传统经腹部彩超具有显著性优势，对于有效降低异位妊娠死亡率具有重要意义，值得临床进一步推广。
目的：探討經陰道綵色多普勒超聲在早期診斷異位妊娠中的臨床應用情況。方法：收集本院2011年10月至2012年10月期間經臨床確診的異位妊娠患者90例的臨床資料，且該90例患者均在早期進行過經腹部綵超及經陰道綵超檢查，對兩種早期綵超檢查方法的臨床診斷準確率情況進行比較性分析。結果：該組患者經腹部綵色多普勒超聲檢查的臨床診斷準確率為77.78％，經陰道綵色多普勒超聲檢查的臨床診斷準確率為96.67％，經陰道綵色多普勒超聲檢查的臨床診斷準確率明顯高于經腹部綵色多普勒超聲檢查（χ2＝14.41，P＜0.05），有統計學意義。經陰道綵色多普勒超聲檢查的各種典型異位妊娠超聲影像學錶現（胚芽、盆腔積液、原始心血管搏動、附件包塊、子宮內假孕囊）檢齣率均顯著高于經腹部綵色多普勒超聲檢查，P＜0.05，有統計學意義。結論：經陰道綵色多普勒超聲在早期診斷異位妊娠方麵較傳統經腹部綵超具有顯著性優勢，對于有效降低異位妊娠死亡率具有重要意義，值得臨床進一步推廣。
목적：탐토경음도채색다보륵초성재조기진단이위임신중적림상응용정황。방법：수집본원2011년10월지2012년10월기간경림상학진적이위임신환자90례적림상자료，차해90례환자균재조기진행과경복부채초급경음도채초검사，대량충조기채초검사방법적림상진단준학솔정황진행비교성분석。결과：해조환자경복부채색다보륵초성검사적림상진단준학솔위77.78％，경음도채색다보륵초성검사적림상진단준학솔위96.67％，경음도채색다보륵초성검사적림상진단준학솔명현고우경복부채색다보륵초성검사（χ2＝14.41，P＜0.05），유통계학의의。경음도채색다보륵초성검사적각충전형이위임신초성영상학표현（배아、분강적액、원시심혈관박동、부건포괴、자궁내가잉낭）검출솔균현저고우경복부채색다보륵초성검사，P＜0.05，유통계학의의。결론：경음도채색다보륵초성재조기진단이위임신방면교전통경복부채초구유현저성우세，대우유효강저이위임신사망솔구유중요의의，치득림상진일보추엄。
Objectives:To explore the clinical application of transvaginal color doppler ultrasonography in the early diagnosis of ectopic pregnancy.Methods:Clinical data of the 90 patients who had received transabdominal and transvaginal color doppler ultrasound examination due to ectopic pregnancy in our hospital from Oct.201 1 to Oct.2012 were collected.The accuracy of clinical diagnosis of two early ultrasound methods was comparatively ana-lyzed.Result:The accuracy of clinical diagnosis of the patients with transabdominal and transvaginal color doppler ultrasound examination was 77.78%and 96.67%respectively,with statistically significant difference (χ2 =14.41, P<0.05 ).The detection rate of various typical of ectopic pregnancy by transvaginal color doppler ultrasound exami-nation (germ,pelvic effusion,primitive cardiovascular pulsation,adnexal mass,the uterus false pregnancy sac ) was significantly higher than that of transabdominal color doppler ultrasound examination,with statistically signifi-cant difference (P<0.05 ).Conclusion:Transvaginal color doppler ultrasound examination has significant advan-tages over the conventional transabdominal ultrasonography in the early diagnosis of ectopic pregnancy,which can effectively reduce the mortality of ectopic pregnancy and is worthy of further promotion.
