CAJ | 학술논문

目的：比较经腹及经阴道彩色多普勒超声在异位妊娠诊断中的应用价值。方法选择于2010年2月至2014年2月在我院经手术及病理确诊的异位妊娠患者122例，比较本组患者经腹、经阴道彩超检查的结果，并与病理诊断相比较，对比较结果进行统计学分析。结果①经阴道彩色超声诊断异位妊娠共检出119例，符合率为97．5%(119/122)；经腹部彩色超声诊断异位妊娠共检出95例，符合率为77．8%(95/122)；经阴道彩色超声诊断的符合率明显高于经腹部彩色超声，差异有统计学意义(P<0．05)；②不同部位异位妊娠的声像图表现均为子宫增大，宫内无妊娠囊。结论在异位妊娠超声诊断中，经阴道彩色多普勒超声诊断的检出率更高，效果优于经腹彩色超声诊断。
목적：비교경복급경음도채색다보륵초성재이위임신진단중적응용개치。방법선택우2010년2월지2014년2월재아원경수술급병리학진적이위임신환자122례，비교본조환자경복、경음도채초검사적결과，병여병리진단상비교，대비교결과진행통계학분석。결과①경음도채색초성진단이위임신공검출119례，부합솔위97．5%(119/122)；경복부채색초성진단이위임신공검출95례，부합솔위77．8%(95/122)；경음도채색초성진단적부합솔명현고우경복부채색초성，차이유통계학의의(P<0．05)；②불동부위이위임신적성상도표현균위자궁증대，궁내무임신낭。결론재이위임신초성진단중，경음도채색다보륵초성진단적검출솔경고，효과우우경복채색초성진단。
Objective To compare the clinical value of abdominal and transvaginal color doppler ultrasound in ectopicl pregnancy diagnosis. Methods 122 cases of ectopicl pregnancy patients hospitaled were all diagnosed as ectopicl pregnancy by operation and pathology from February 2010 to February 2014 these cases were choosed to compare the inspection results of trans vaginal color doppler ultrasound and trans abdominal color doppler with pathological diagnosis results,and then the results were made statistical analysis. Results ①119 cases were diagnosed by trans vaginal color doppler ultrasound,the detection rate was 97. 5%,95 cases were diagnosed by trans abdominal color doppler ultrasound,the detection rate was 77. 8%,the accuracy rate of TVCD was significantly higher than TACD,there were Statistically significant difference between groups(P<0. 05);②The ultra-sonographic features of ectopic pregnancy in different parts were all hysterauxesis,and no gravidity bags. Conclusion In the ul-trasonic diagnosis of ectopic pregnancy,TVCD got a higher detection rates than TACD. and is better than abdominal color ultra-sound diagnosis.