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经腹与经阴道超声检查早早孕及宫外孕的临床意义 被引量:8

Clinical significance of abdominal combined with transvaginal sonography in the diagnosis of very early pregnancy and very early ectopic pregnancy
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摘要 目的探讨经腹(TAS)及经阴道彩色多普勒超声(TVCS)诊断早早孕及宫外孕的临床意义。方法对160例临床疑为早早孕,TAS不能确诊者109例进行TVCS检查,检出宫内早早孕101例,宫外孕7例。结果TAS对早早孕及宫外孕诊断的灵敏度及特异度分别为32.1%(51/159)、100%(1/1)。TVCS对早早孕及宫外孕诊断的灵敏度及特异度分别为95.6%(152/159)、100%(1/1)。结论TVCS在早早孕及宫外孕诊断中明显优于TAS 联合TAS与TVCS检查,可大大提高早早孕及宫外孕的检出率。 Objective To investigate clinical significance of transabdominal sonography (TAS)and transvaginal color Doppler sonography (TVCS) in the diagnosis of very early pregnancy and very early ectopic pregnancy. Methods 109 of 160 patients who were suspected to have very early pregnancy and could not be confirmed by TAS were detected with TVCS. 101 cases were diagnosed as having very early pregnancy and 7 cases as having ectopic pregnancy . Results The sensitivity and specificity of TVCS in the diagnosis of very early pregnancy and ectopic pregnancy were 95.6% ( 152/ 159) and, 100% ( 1/1 ), respectively , whereas the sensitivity and specificity of TAS were 32.1% (51/159) and, 100% (1/1), respec- tively. Conclusions Abdominal combined with transvaginal sonography improves diagnosis remarkably for very early pregnancy and ectopic pregnancy.
出处 《武警医学》 CAS 2009年第3期222-224,共3页 Medical Journal of the Chinese People's Armed Police Force
关键词 经阴道彩色多普勒超声 经腹超声 早早孕 早期宫外孕 Transvaginal color Doppler sonography Transabdominal sonography Early pregnancy Ectopic pregnancy
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