CAJ | 학술논문

目的：：对比腹部超声( trans-abdominal sonography,TAS)与阴道超声( trans-vaginal sonography,TVS)在异位妊娠诊断中的应用价值。方法：226例异位妊娠患者分别采用腹部超声及经阴道超声检查,对比两种方法阳性检出率,同时对比两种方法对不同类型异位妊娠的阳性检出率。结果： TAS对异位妊娠诊断阳性率为82．3%(186/226),显著低于TVS的94．7%(214/226)(P<0．01)；TVS对相对稳定型异位妊娠的诊断阳性率为96．0%(48/50),显著高于TAS的64．3%(18/28)(P<0．01),而TAS对急诊型异位妊娠的诊断阳性率为95．4%(21/22),显著高于TVS的66．7%(10/15)(P<0．05)。结论： TVS检查具有分辨率高、距离靶器官近等多重优势,TAS适用范围广泛、操作灵活,在临床实践操作中应灵活结合两种检查方法,提高异位妊娠的超声诊断准确率。
목적：：대비복부초성( trans-abdominal sonography,TAS)여음도초성( trans-vaginal sonography,TVS)재이위임신진단중적응용개치。방법：226례이위임신환자분별채용복부초성급경음도초성검사,대비량충방법양성검출솔,동시대비량충방법대불동류형이위임신적양성검출솔。결과： TAS대이위임신진단양성솔위82．3%(186/226),현저저우TVS적94．7%(214/226)(P<0．01)；TVS대상대은정형이위임신적진단양성솔위96．0%(48/50),현저고우TAS적64．3%(18/28)(P<0．01),이TAS대급진형이위임신적진단양성솔위95．4%(21/22),현저고우TVS적66．7%(10/15)(P<0．05)。결론： TVS검사구유분변솔고、거리파기관근등다중우세,TAS괄용범위엄범、조작령활,재림상실천조작중응령활결합량충검사방법,제고이위임신적초성진단준학솔。
Objective: To contrast the diagnostic value of trans-abdominal sonography ( TAS ) and trans-vaginal sonography ( TVS) in the diagnosis of EP. Methods:226 patients with EP were detected with TAS and TVS,and then the positive detection rates were contrasted between the two methods. Results:The positive rate of TAS in the diagnosis was 82. 3%(186/226),significantly lower than 94. 7%(214/226) in TVS(P<0. 01);The positive rate of TVS in the relative stability of EP was 96. 0%(48/50),significantly higher than 64. 3%(18/28) in TAS(P<0. 01);The positive rate of TAS in the emergency EP was 95. 4%(21/22),significantly high-er than 64. 3%(18/28) in TVS(P<0. 01). Conclusion:TVS has advantages such as high resolution,near distance to the target or-gans,TAS has wide application range,simple operation,and we should use the two methods in clinical practice to improve the accuracy of ultrasound diagnosis of EP.