摘要
目的:探究经腹部超声诊断宫外孕的临床价值。方法:选择2015年2月至2017年2月咸阳市中心医院接受治疗的80例宫外孕患者作为研究对象,所有患者均实施经腹部超声诊断,将诊断结果与病理检查结果进行比较分析,观察其诊断符合率、漏诊情况等。结果:经腹部超声诊断共有74例患者确诊为宫外孕,诊断符合率为92. 5%(74/80),与病理检查结果比较差异无统计学意义(P> 0. 05)。经腹部超声声像图显示,未破裂型36例,检出率为92. 3%(36/39),破裂型16例,检出率为88. 9%(16/18),陈旧型22例,检出率为95. 7%(22/23),与病理检查结果差异无统计学意义(P> 0. 05);经腹部超声诊断附件区包块、胚芽、假孕囊等情况与病理检查结果差异无统计学意义(P> 0. 05);有3例患者出现误诊,误诊率为3. 8%(3/80),其中1例误诊为盆腔炎,2例误诊为黄体囊肿破裂,另有3例漏诊。结论:经腹部超声诊断宫外孕操作简单、无创、准确率高,可以作为诊断宫外孕的首选,值得推广应用。
Objective： To explore the clinical value of transabdominal ultrasound in the diagnosis of early ectopic pregnancy. Methods： 80 patients with ectopic pregnancy treated in Xianyang Central Hospital from February2015 to February 2017 were selected and all underwent transabdominal ultrasound. The diagnosis results were compared with pathological examination results and the coincidence rate and misdiagnosis rate was observed and recorded. Results： There were 74 cases diagnosed as ectopic pregnancy by transabdominal ultrasound,a coincidence rate of 92. 5%（ 74/80）,without statistically significant difference from the pathological examination results（ P〉0. 05）. According to transabdominal ultrasound,there were 36 cases of unruptured type,a detection rate of 92. 3%（ 32/39）,16 cases of fracture type,a detection rate of 88. 9%（ 16/18）,and 22 cases of old type,a detection rate of 95. 7%（ 22/23）,without statistically significant difference from the pathological examination results（ P〉0. 05）. There was no statistically significant difference in the diagnosis results of mass,embryo and phantom pregnancy bursa（ P〉0. 05）. There were 3 cases of missed diagnosis and 3 cases（ 3. 8%） of misdiagnosis,including a case misdiagnosed as pelvic inflammation and 2 cases misdiagnosed as luteal cysts. Conclusions： Application of transabdominal ultrasound in the diagnosis of early ectopic pregnancy is simple,noninvasive and accurate,which can be used as the first choice for the diagnosis of early ectopic pregnancy and worth promotion.
作者
刘敏
高曼丽
李倩
冯美宁
刘鹏
LIU Min;GAO Manli;LI Qian;FENG Meining;LIU Peng(Department of Ultrasound Diagnosis,Xianyang Central Hospital,Xianyang 712000,Shaanxi,China;Department of Obstetrics and Gynecology,Xianyang Central Hospital,Xianyang 712000,Shaanxi,China;Department of Reproductive Medicine,Xianyang Central Hospital,Xianyang 712000,Shaanxi,China;Department of Obstetrics and Gynecology,Xi＇an Red Cross Hospital,Xi＇an 710000,Shaanxi,China)
出处
《中国性科学》
2018年第10期75-77,共3页
Chinese Journal of Human Sexuality
关键词
经腹部超声
宫外孕
病理检查
诊断符合率
临床价值
Transabdominal ultrasound
Ectopic pregnancy
Pathological examination
Diagnostic coincidence rate
Clinical value
