中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
12期
1809-1811
,共3页
阴道超声%腹部超声%异位妊娠
陰道超聲%腹部超聲%異位妊娠
음도초성%복부초성%이위임신
Transvaginal ultrasonography%Abdominal ultrasonography%Ectopic pregnancy
目的 观察阴道超声在异位妊娠诊断中的临床价值.方法 将2010年1月至2013年1月江苏省扬州市妇幼保健院150例孕妇,完全随机分为2组各75例,腹部超声组采用腹部超声检查,阴道超声组采用阴道超声检查,比较2种检查方法的阳性率、超声图像,并比较2组诊断方案对于不同分型异位妊娠检查率.结果 阴道超声组异位妊娠阳性检出率为96.0％(72/75),腹部超声组异位妊娠阳性检出率为76.0％(57/75),2组比较差异有统计学意义(P＜0.05);阴道超声组患者附件包块、胎心搏动、盆腔积液等检出率明显高于腹部超声组,差异均有统计学意义[48.8％(36/75)比28.0％(21/75)、16.0％(12/75)比4.0％(3/75)、52.0％(39/75)比32.0％(24/75),均P＜0.05];阴道超声组患者破裂型、未破裂型、流产型检出率均明显高于腹部超声组,差异有统计学意义[破裂型:93.3％(42/45)比80.0％(36/45),未破裂型:100.0％(18/18)比66.7％(12/18),流产型:100.0％(12/12)比75.0％(9/12),均P＜0.05].结论 阴道超声在异位妊娠的诊断中效果明显,阳性检出率更高,观察结果准确性更好,明显好于腹部超声,值得临床推广应用.
目的 觀察陰道超聲在異位妊娠診斷中的臨床價值.方法 將2010年1月至2013年1月江囌省颺州市婦幼保健院150例孕婦,完全隨機分為2組各75例,腹部超聲組採用腹部超聲檢查,陰道超聲組採用陰道超聲檢查,比較2種檢查方法的暘性率、超聲圖像,併比較2組診斷方案對于不同分型異位妊娠檢查率.結果 陰道超聲組異位妊娠暘性檢齣率為96.0％(72/75),腹部超聲組異位妊娠暘性檢齣率為76.0％(57/75),2組比較差異有統計學意義(P＜0.05);陰道超聲組患者附件包塊、胎心搏動、盆腔積液等檢齣率明顯高于腹部超聲組,差異均有統計學意義[48.8％(36/75)比28.0％(21/75)、16.0％(12/75)比4.0％(3/75)、52.0％(39/75)比32.0％(24/75),均P＜0.05];陰道超聲組患者破裂型、未破裂型、流產型檢齣率均明顯高于腹部超聲組,差異有統計學意義[破裂型:93.3％(42/45)比80.0％(36/45),未破裂型:100.0％(18/18)比66.7％(12/18),流產型:100.0％(12/12)比75.0％(9/12),均P＜0.05].結論 陰道超聲在異位妊娠的診斷中效果明顯,暘性檢齣率更高,觀察結果準確性更好,明顯好于腹部超聲,值得臨床推廣應用.
목적 관찰음도초성재이위임신진단중적림상개치.방법 장2010년1월지2013년1월강소성양주시부유보건원150례잉부,완전수궤분위2조각75례,복부초성조채용복부초성검사,음도초성조채용음도초성검사,비교2충검사방법적양성솔、초성도상,병비교2조진단방안대우불동분형이위임신검사솔.결과 음도초성조이위임신양성검출솔위96.0％(72/75),복부초성조이위임신양성검출솔위76.0％(57/75),2조비교차이유통계학의의(P＜0.05);음도초성조환자부건포괴、태심박동、분강적액등검출솔명현고우복부초성조,차이균유통계학의의[48.8％(36/75)비28.0％(21/75)、16.0％(12/75)비4.0％(3/75)、52.0％(39/75)비32.0％(24/75),균P＜0.05];음도초성조환자파렬형、미파렬형、유산형검출솔균명현고우복부초성조,차이유통계학의의[파렬형:93.3％(42/45)비80.0％(36/45),미파렬형:100.0％(18/18)비66.7％(12/18),유산형:100.0％(12/12)비75.0％(9/12),균P＜0.05].결론 음도초성재이위임신적진단중효과명현,양성검출솔경고,관찰결과준학성경호,명현호우복부초성,치득림상추엄응용.
Objective To examine the transvaginal ultrasonography in the diagnosis of ectopic pregnancy (EP).Methods All 150 patients with EP from January 2010 to January 2013 were randomly divided into observation group and control group; control group had abdominal ultrasonography and observation group had transvaginal ultrasonography.Results The positive rate of EP was 96.0％ in observation group and 76.0％ in control group; it was statistically different (P ＜ 0.05).In observation group,accessory bag piece,heart throb,pelvic cavity accumulates fluid were significantly higher than those in the control group; the difference was statistically significant[48.8％ (36/75) vs 28.0％ (21/75),16.0％ (12/75) vs 4.0％ (3/75),52.0％ (39/75) vs 32.0％ (24/75),all P ＜ 0.05].Three types of EP with parting were significantly higher than those in control group; the difference was statistically significant[ruptured:93.3％ (42/45) vs 80.0％ (36/45),unruptured:100.0％ (18/ 18) vs66.7％(12/18),abortion type:100.0％ (12/12) vs75.0％(9/12),allP＜0.05].Conclusion The positive detection rate is higher with transvaginal ultrasonography and observation accuracy is better than abdominal ultrasonography.
