CAJ | 학술논문

目的：研究对比经腹部联合经阴道彩色多普勒超声检查应用于异位妊娠的临床检查的指导意义。方法选取2011年3月~2013年11月收治的135例异位妊娠患者随机分成腹部超声组、阴道超声组和联合超声组，各45例，经彩超诊断后，比较三组患者该病的诊断准确率及子宫附件包块、妊娠囊、心管博动、盆腔积液、输卵管回声环等相关指征。结果单独部位（腹部、阴部）超声诊断准确率为64.4%，71.1%均显著低于联合超声组97.8%，结果具有统计学意义（P＜0.05），联合超声组诊断价值显著优于其他两组。结论经腹部联合经阴道超声检查应用于异位妊娠临床诊断，其准确率较单个部位检查更高，且实用性，不会对患者造成医源性创伤，可以作为临床诊断异位妊娠的重要辅助检查手段，值得临床推广应用。
목적：연구대비경복부연합경음도채색다보륵초성검사응용우이위임신적림상검사적지도의의。방법선취2011년3월~2013년11월수치적135례이위임신환자수궤분성복부초성조、음도초성조화연합초성조，각45례，경채초진단후，비교삼조환자해병적진단준학솔급자궁부건포괴、임신낭、심관박동、분강적액、수란관회성배등상관지정。결과단독부위（복부、음부）초성진단준학솔위64.4%，71.1%균현저저우연합초성조97.8%，결과구유통계학의의（P＜0.05），연합초성조진단개치현저우우기타량조。결론경복부연합경음도초성검사응용우이위임신림상진단，기준학솔교단개부위검사경고，차실용성，불회대환자조성의원성창상，가이작위림상진단이위임신적중요보조검사수단，치득림상추엄응용。
Objective To research and compared the guiding significance of applying transabdominal combined with transvaginal color Doppler ultrasound in ectopic pregnancy. Methods135 patients with ectopic pregnancy who were admitted from March 2011 to November 2013 were randomly allocated into abdominal ultrasound group, vaginal ultrasound group and combined ultrasound group with 45 patients in each group. Accuracy rate of diagnosis and relevant indications including uterine adnexal mass, the gestational sac, heart throb, pelvic fluid, fallopian tube echo ring of three groups were compared after diagnosed by color Doppler ultrasound.Results The accuracy rate of diagnosis of abdominal ultrasound group and vaginal ultrasound group was 64.4% and 71.1%, which were significantly lower than 97.8% of the combined ultrasound group, and the difference was statistically significant (P<0.05). The diagnostic value of combined ultrasound group was significantly better than that of other two groups. Conclusion Transabdominal combined with transvaginal color doppler ultrasound in the diagnosis of ectopic pregnancy has higher accuracy rate than separate part ultrasound and practicability without iatrogenic trauma on patients, which can be used clinically as an important auxiliary examination method to diagnose ectopic pregnancy and is worthy of clinical application.