中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
31期
130-131
,共2页
汤华%姚惠莉%陈红方%艾利
湯華%姚惠莉%陳紅方%艾利
탕화%요혜리%진홍방%애리
宫外孕%经阴道超声%经腹部超声
宮外孕%經陰道超聲%經腹部超聲
궁외잉%경음도초성%경복부초성
Ectopic pregnancy%Transvaginal ultrasound%Abdominal ultrasound
目的：探讨经腹部超声及经阴道超声联合使用在宫外孕诊断方面的应用价值。方法：收集2012年6月-2015年8月均经本院手术病理证实为宫外孕的185例患者为研究对象，所有患者均进行经阴道超声及经腹部超声检查，比较经腹部超声、经阴道超声及两种诊断方法联合使用的诊断正确率及附件区包块、卵黄囊、胎芽和胎心、盆腔积液检出率。结果：联合应用的诊断准确率明显高于经阴道超声及经腹部超声，经阴道超声的诊断准确率明显高于经腹部超声，差异均有统计学意义（P<0.05）。联合应用的附件区包块、卵黄囊、胎芽和胎心、盆腔积液检出率明显高于经阴道超声及经腹部超声，差异均有统计学意义（P<0.05）；经阴道超声附件区包块、卵黄囊、胎芽和胎心的检出率明显高于经腹部超声，差异有统计学意义（P<0.05）。结论：经腹部超声和经阴道超声两种检查方法联合应用能显著提高宫外孕患者的诊断正确率，效果明显优于单独应用经阴道超声或经腹部超声的检查结果，可在临床推广应用。
目的：探討經腹部超聲及經陰道超聲聯閤使用在宮外孕診斷方麵的應用價值。方法：收集2012年6月-2015年8月均經本院手術病理證實為宮外孕的185例患者為研究對象，所有患者均進行經陰道超聲及經腹部超聲檢查，比較經腹部超聲、經陰道超聲及兩種診斷方法聯閤使用的診斷正確率及附件區包塊、卵黃囊、胎芽和胎心、盆腔積液檢齣率。結果：聯閤應用的診斷準確率明顯高于經陰道超聲及經腹部超聲，經陰道超聲的診斷準確率明顯高于經腹部超聲，差異均有統計學意義（P<0.05）。聯閤應用的附件區包塊、卵黃囊、胎芽和胎心、盆腔積液檢齣率明顯高于經陰道超聲及經腹部超聲，差異均有統計學意義（P<0.05）；經陰道超聲附件區包塊、卵黃囊、胎芽和胎心的檢齣率明顯高于經腹部超聲，差異有統計學意義（P<0.05）。結論：經腹部超聲和經陰道超聲兩種檢查方法聯閤應用能顯著提高宮外孕患者的診斷正確率，效果明顯優于單獨應用經陰道超聲或經腹部超聲的檢查結果，可在臨床推廣應用。
목적：탐토경복부초성급경음도초성연합사용재궁외잉진단방면적응용개치。방법：수집2012년6월-2015년8월균경본원수술병리증실위궁외잉적185례환자위연구대상，소유환자균진행경음도초성급경복부초성검사，비교경복부초성、경음도초성급량충진단방법연합사용적진단정학솔급부건구포괴、란황낭、태아화태심、분강적액검출솔。결과：연합응용적진단준학솔명현고우경음도초성급경복부초성，경음도초성적진단준학솔명현고우경복부초성，차이균유통계학의의（P<0.05）。연합응용적부건구포괴、란황낭、태아화태심、분강적액검출솔명현고우경음도초성급경복부초성，차이균유통계학의의（P<0.05）；경음도초성부건구포괴、란황낭、태아화태심적검출솔명현고우경복부초성，차이유통계학의의（P<0.05）。결론：경복부초성화경음도초성량충검사방법연합응용능현저제고궁외잉환자적진단정학솔，효과명현우우단독응용경음도초성혹경복부초성적검사결과，가재림상추엄응용。
Objective:To investigate the application value of transvaginal ultrasound combined with abdominal ultrasound in diagnosis of ectopic pregnancy.Method:185 patients with ectopic pregnancy in our hospital were selected from June 2012 to August 2015,they were ectopic pregnancy.All patients underwent transvaginal ultrasound and abdominal ultrasound,the diagnostic accuracy and the detection rate of the attachment area mass, yolk sac, fetal bud and fetal heart and pelvic effusion of three methods were compared.Result: The diagnostic accuracy rate of two diagnostic methods combined was significantly higher than the transvaginal ultrasound and abdominal ultrasound, the diagnostic accuracy rate of the transvaginal ultrasound was significantly higher than abdominal ultrasound, the differences were statistically significant(P<0.05). The detection rate of the attachment area mass, yolk sac, fetal bud and fetal heart and pelvic effusion in the combined application were significantly higher than that of transvaginal ultrasound and abdominal ultrasound,the differences were statistically significant(P<0.05). The detection rate of attachment area mass,yolk sac,fetal bud and fetal heart in transvaginal ultrasound were significantly higher than that of abdominal ultrasound, the differences were statistically significant(P<0.05).Conclusion:The abdominal ultrasound combined with transvaginal ultrasound can significantly improve the diagnostic accuracy in patients with ectopic pregnancy,better than alone transvaginal ultrasound or abdominal ultrasound examination result,it is worth in clinical application.
