经阴道彩色多普勒超声诊断异位妊娠的临床价值分析

目的:探讨经阴道彩色多普勒超声诊断用于诊断异位妊娠的检出率与准确率,为其临床应用提供参考。方法:选取2016年1月-2017年12月我院收治的疑似异位妊娠患者174例,依据随机数字表方法将其分为观察组和参考组,每组87例。参考组应用经腹部彩色多普勒超声予以诊断,观察组采用经阴道彩色多普勒超声进行诊断,比较两组的检出率与准确率。结果:观察组检出率为96.5%,明显高于参考组(86.2%,P0.05);观察组的准确率达97.6%,明显高于参考组(85.7%,P0.05)。在对大病灶的诊断中,两组的诊断准确率比较差异无统计学意义(P0.05);在小病灶诊断中,观察组的诊断准确率为97.6%,明显高于参考组(76.9%,P0.05)。观察组在胎囊型和飘浮型中的诊断率均明显的高于参考组(P0.05);在包块型的诊断中,两组诊断准确率比较差异无统计学意义(P0.05)。结论:与经腹部彩色多普勒超声相比,经阴道彩色多普勒超声诊断应用于异位妊娠中具有较高的检出率与准确率,尤其针对一些较小的病灶诊断有优势。

Analysis of the Clinical Value of Transvaginal Color Doppler Ultrasound for the Diagnosis of Ectopic Pregnancy

ABSTRACT Objective: To explore the detection rate and accuracy of transvaginal color Doppler ultrasound in the diagnosis of ectopic pregnancy, and provide reference for its clinical application. Methods: 174 cases of suspected ectopic pregnancy in our hospital from January 2016 to December 2017 were selected and divided into the observation group and the reference group according to the random number table method, with 87 cases in each group. The reference group was diagnosed by transabdominal color Doppler ultrasound, while the observation group was diagnosed bythe transvaginal color Doppler ultrasound. The detection rate and accuracy of the two groups were compared. Results: The detection rate of observation group was 96.5%, which was significantly higher than that of the reference group (86.2%, P<0.05); the accuracy rate of observation group was 97.6%, which was significantly higher than that of the reference group (85.7%, P<0.05). In the diagnosis of large lesions, there was no significant difference between the two groups (P<0.05); in the diagnosis of small lesions, the accuracy of the observation group was 97.6%, which was significantly higher than that of the reference group (76.9%, P<0.05). The diagnostic rate of observation group in the follicular sac type and floating type was significantly higher than that of the reference group (P<0.05); in the diagnosis of mass type, there was no significant difference between the two groups (P>0.05). Conclusion: Compared with transabdominal color Doppler ultrasonography, transvaginal color Doppler ultrasonography has a higher detection rate and accuracy in ectopic pregnancy. Especially for some small lesions, it has its unique advantages. It provides a favorable guarantee for early diagnosis and treatment of patients, and has significant clinical value.