异位妊娠行阴道B超与腹部B超诊断的临床价值对照分析.doc

精品论文 参考文献 异位妊娠行阴道B超与腹部B超诊断的临床价值对照分析 隆回县人民医院 湖南隆回 422200 摘要：目的：对于异位妊娠行阴道B超检查与腹部B超检查的诊断价值对比。方法：选取我院收治的80例疑似异位妊娠的患者作为观察对象，80例疑似异位妊娠患者均采用阴道B超及腹部B超检查，以病理学检查结果作为金标准，比较两种不同检查方式对于诊断异位妊娠的临床价值。结果：80例疑似异位妊娠患者经病理诊断确诊为异位妊娠的患者有72例，采用阴道B超检查异位妊娠的准确性为90.00%，采用腹部B超检查异位妊娠的准确率为73.75%，阴道B超检查的诊断价值明显高于腹部B超检查（p＜0.05），统计学有意义；且两种检查方式结果中特异度及敏感度均存在差异（p＜0.05），统计学有意义。结论：异位妊娠行阴道B超检查诊断的临床价值高于腹部B超检查，阴道B超检查能有效减少漏诊、误诊情况的出现，提高诊断的准确性。 关键词：异位妊娠；阴道B超；腹部B超；诊断价值 【abstract】objective：line for ectopic pregnancy vaginal ultrasound examination and the diagnostic value of abdominal ultrasound contrast.Selection methods：our hospital 80 cases of patients with suspected ectopic pregnancy as research object，80 patients with suspected ectopic pregnancy adopt vaginal B ultrasonic and abdominal ultrasound examination，with pathology as the gold standard test results，comparing two different ways to check for the clinical value of diagnosis of ectopic pregnancy.Results：80 cases of suspected ectopic pregnancy patients confirmed by pathological diagnosis of ectopic pregnancy patients with 72 cases of vaginal ultrasound was 90.00%，the accuracy of ectopic pregnancy with abdominal B to exceed examination accuracy rate of ectopic pregnancy was 73.75%，the diagnostic value of vaginal ultrasound examination was obviously higher than that of abdominal ultrasound examination（p lt; 0.05），statistically significant；And two types of inspection result in cyber and sensitivity are differences（p lt; 0.05），statistically significant.Conclusion：ectopic pregnancy underwent vaginal ultrasound diagnosis of clinical value is higher than abdominal ultrasound，vaginal ultrasound examination can effectively reduce the occurrence of the missed diagnosis and misdiagnosis and improve the accuracy of diagnosis. 【key words】ectopic pregnancy；Vaginal ultrasound；Abdominal ultrasound.Diagnostic value 异位妊娠是指孕卵在女性子宫外着床并发育的现象，孕卵着床的位置可发生在卵巢内、腹腔内、阔韧带处及输卵管内，最常见的为输卵管妊娠[1]。目前，异位妊娠的病因尚未明确，其临床症状主要表现为腹部剧烈疼痛、低热、四肢湿冷、面色苍白等，严重影响患者的身体健康及生活质量。因此，