中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
11期
1651-1652,1653
,共3页
妊娠,输卵管%超声检查,多普勒,彩色%诊断
妊娠,輸卵管%超聲檢查,多普勒,綵色%診斷
임신,수란관%초성검사,다보륵,채색%진단
Pregnancy,Tubal%Ultrasonography,Doppler,Color%Diagnosis
目的：比较经腹彩超（TACDS）及经阴道彩超（TVCDS）检查对输卵管妊娠早期诊断的价值。方法回顾性分析112例早期输卵管异位妊娠（手术及术后病理活检证实）患者的临床资料，比较 TACDS 及TVCDS 两种检查方式的临床诊断准确率。结果TACDS 与 TVCDS 对输卵管妊娠的临床诊断准确例数分别为75例、108例，临床诊断准确率分别为66．96％、96．43％。经阴道彩超对输卵管妊娠临床诊断准确率明显高于经腹彩超，差异有统计学意义（χ2＝32．5118，P ＝0．000）。结论经阴道彩超较经腹彩超用于输卵管妊娠早期诊断，具有临床诊断准确率及检出阳性率高等优势，可以更早期发现特征性图像改变，为临床提供客观的诊断和治疗依据。
目的：比較經腹綵超（TACDS）及經陰道綵超（TVCDS）檢查對輸卵管妊娠早期診斷的價值。方法迴顧性分析112例早期輸卵管異位妊娠（手術及術後病理活檢證實）患者的臨床資料，比較 TACDS 及TVCDS 兩種檢查方式的臨床診斷準確率。結果TACDS 與 TVCDS 對輸卵管妊娠的臨床診斷準確例數分彆為75例、108例，臨床診斷準確率分彆為66．96％、96．43％。經陰道綵超對輸卵管妊娠臨床診斷準確率明顯高于經腹綵超，差異有統計學意義（χ2＝32．5118，P ＝0．000）。結論經陰道綵超較經腹綵超用于輸卵管妊娠早期診斷，具有臨床診斷準確率及檢齣暘性率高等優勢，可以更早期髮現特徵性圖像改變，為臨床提供客觀的診斷和治療依據。
목적：비교경복채초（TACDS）급경음도채초（TVCDS）검사대수란관임신조기진단적개치。방법회고성분석112례조기수란관이위임신（수술급술후병리활검증실）환자적림상자료，비교 TACDS 급TVCDS 량충검사방식적림상진단준학솔。결과TACDS 여 TVCDS 대수란관임신적림상진단준학례수분별위75례、108례，림상진단준학솔분별위66．96％、96．43％。경음도채초대수란관임신림상진단준학솔명현고우경복채초，차이유통계학의의（χ2＝32．5118，P ＝0．000）。결론경음도채초교경복채초용우수란관임신조기진단，구유림상진단준학솔급검출양성솔고등우세，가이경조기발현특정성도상개변，위림상제공객관적진단화치료의거。
Objective To compare the early diagnostic value of between transabdominal color Doppler ultra-sound(TACDS)and transvaginal color Doppler ultrasound(TVCDS)in tubal pregnancy.Methods Clinical data of 112 cases which were diagnosis of tubal pregnancy by operation and postoperative pathologic examination were retro-spectively ananlyzed.The accuracy of clinical diagnosis of tubal ectopic pregnancy were compared between TACDS group and TVCDS group.Results 75 cases and 108 cases were diagnosed of tubal pregnancy in TACDS group and TVCDS group,respectively.The diagnostic accuracy were 66.96% and 96.43%,respectively.There was evident difference between the TACDS group and TVCDS group(χ2 =32.511 8,P =0.000).Conclusion Compared with TACDS,TVCDS has high accurate for early diagnosis of tubal pregnancy,which can provide characteristic images and objective basis for the diagnosis and treatment of tubal ectopic pregnancy.
