标题：阴道超声联合腹部B超在宫外孕诊断上的应用价值

      作者：郭 维 1，陈 恩 2，韦保林 1，傅金阶 1，罗晓曙 1
    (桂林市第二人民医院超声医学科 1、妇科 2，广西 桂林 541002)

      卷次： 2014年25卷21期

      【摘要】 目的 探讨阴道超声联合腹部B超在宫外孕诊断上的应用价值，为宫外孕的早期诊断提供依据。
方法 对本院2011年12月至2013年12月收治的106例经手术或保守治疗确诊宫外孕患者的临床资料进行回顾
性分析，全部患者均行阴道超声及腹部超声检查，观察患者卵巢子宫旁有无异常，并对比阴道超声检查、经腹部B
超检查以及二者联合检查宫外孕的阳性率及漏诊率情况。结果 经腹部B超检测卵黄囊、胎芽、心搏和盆腔积
液等阳性检出率均显著低于经阴道超声检查(P<0.05)；阴道超声和腹部超声联合诊断为宫外孕者101例，诊断符
合率为95.28%，漏诊5例占4.72%；单纯腹部超声诊断宫外孕79例，诊断符合率为74.53%，漏诊27例占25.47%；
单纯阴道超声检查诊断为宫外孕者82例，诊断符合率为77.36%，漏诊24例占22.64%，阴道超声联合腹部B超与
单纯腹部超声和单纯阴道超声比较，其诊断符合率差异均有统计学意义(P<0.05)，但阴道超声诊断符合率和腹部
B超诊断符合率相近，差异无统计学意义(P>0.05)。结论 阴道超声联合腹部B超可显著提高宫外孕的诊断符合
率，为临床提供了更方便、更快捷的诊断手段，提高了诊断的准确率，值得临床推广应用。

      【关键词】 宫外孕；阴道超声；腹部超声；诊断价值

      【中图分类号】 R714.22 【文献标识码】 A 【文章编号】 1003—6350（2014）21—3166—03


Application value of transvaginal ultrasound combined with abdominal B ultrasound in the diagnosis of ectopic
pregnancy.
GUO Wei 1, CHEN En 2, WEI Bao-lin 1, FU Jin-jie 1, LUO Xiao-shu 1. Department of Ultrasology 1,
Department of Gynaecology 2, the Second People's Hospital of Guilin, Guilin 541002, Guangxi, CHINA.

【Abstract】 Objective To investigate the application value of transvaginal ultrasound combined with abdomi-
nal B ultrasound in the diagnosis of ectopic pregnancy, and provide guidance for early diagnosis of ectopic pregnancy.
Methods The clinical data of 106 patients confirmed by surgery or conservative treatment as ectopic pregnancy in
our hospital during December 2011 to December 2013 were analyzed retrospectively. All patients underwent transvagi-
nal ultrasound and abdominal ultrasound to observe the abnormality in ovaries and para-uterine area, and then the posi-
tive rate and misdiagnosis rate of ectopic pregnancy were compared between patients examined by transvaginal ultra-
sound, abdominal B ultrasound and combined ultrasound. Results The detection rate of yolk sac, fetal bud, cardiac
and pelvic effusion in abdominal B was significantly lower than that in transvaginal sound (P<0.05). 101 cases of ecto-
pic pregnancy were diagnosed by the combined ultrasound, where the diagnosis rate and misdiagnosis rate were
95.28% and 4.72% respectively. Meanwhile, 79 cases of ectopic pregnancy were diagnosed by abdominal ultrasound
·论 著·doi:10.3969/j.issn.1003-6350.2014.21.1242