劉敏

[摘要]目的 探討經(jīng)陰道與腹腔彩色多普勒超聲在異位妊娠中的臨床應(yīng)用價值。方法 選取2014年1月～2016年5月我院收治的80例異位妊娠患者作為研究對象，按照隨機數(shù)字表法分為觀察組和對照組，各40例。觀察組實施經(jīng)陰道超聲檢查，對照組行經(jīng)腹部超聲檢查，比較兩組的檢查前準備耗時、檢查耗時，統(tǒng)計兩組的異位妊娠診斷率及所診斷異位妊娠的部位分布。結(jié)果 觀察組的檢查前準備耗時為（1.9±0.4）min，顯著短于對照組的（15.2±2.3）min，差異有統(tǒng)計學(xué)意義（P<0.01）。觀察組的檢查耗時為（8.1±0.3）min，顯著短于對照組的（10.1±0.5）min，差異有統(tǒng)計學(xué)意義（P<0.01）。觀察組的異位妊娠診斷率為97.5%，顯著高于對照組的75.0%，差異有統(tǒng)計學(xué)意義（χ2=6.746，P=0.009）。在兩組的異位妊娠部位中，發(fā)生于輸卵管最常見，均>75.0%。結(jié)論 經(jīng)陰道超聲檢查能較快且準確地判斷異位妊娠的發(fā)生，尤其對于腹部脂肪較厚者，其更具臨床應(yīng)用優(yōu)勢。

[關(guān)鍵詞]經(jīng)陰道彩色多普勒超聲；經(jīng)腹腔彩色多普勒超聲；異位妊娠

[中圖分類號] R714.22 [文獻標(biāo)識碼] A [文章編號] 1674-4721（2016）12（b）-0117-03

Comparison of application value of transvaginal and abdominal color Doppler ultrasonography in ectopic pregnancy

LIU-Min

Department of Ultrasound，Hscybele Obstetrics and Gynecology Hospital of Nanjing，Nanjing 210000，China

[Abstract]Objective To investigate the clinical application value of transvaginal and abdominal color Doppler ultrasonography in ectopic pregnancy.Methods 80 cases of ectopic pregnancy in our hospital from January 2014 to May 2016 were selected and randomly divided into the observation group and the control group，40 cases in each group.The observation group was given transvaginal ultrasonography，and the control group was underwent with abdominal ultrasonography.The time-consuming before inspection，time-consuming inspection were compared between the two groups.The diagnostic rate of ectopic pregnancy and location distribution of ectopic pregnancy in the two groups were counted.Results The time-consuming before inspection in the observation group was （1.9±0.4） minutes，which was shorter than （15.2±2.3） minutes in the control group，with significant difference （P<0.01）.The time-consuming inspection in the observation group was （8.1±0.3） minutes，which was shorter than （10.1±0.5） minutes in the control group，with significant difference （P<0.01）.The diagnostic rate of ectopic pregnancy in the observation group was 97.5%，which was higher than 75.0% in the control group，with significant difference （χ2=6.746，P=0.009）.The occurrence site of ectopic pregnancy in the two groups，fallopian tube was the most common，which were more than 75.0%.Conclusion Transvaginal ultrasonography can diagnose the occurrence of ectopic pregnancy faster and more easily，especially for the patients with thick abdominal fat，so it has more clinical application advantage.

[Key words]Transvaginal color Doppler ultrasound；Transabdominal color Doppler ultrasound；Ectopic pregnancy

異位妊娠的定義是受精卵著床位于子宮體體腔以外，最常見的部位為輸卵管壺腹部，亦可發(fā)生于卵巢、腹腔等部位[1]。異位妊娠后，如未能對孕囊及時采取干預(yù)措施，則隨著孕囊的增大，可能出現(xiàn)腹痛甚至因孕囊導(dǎo)致妊娠部位破裂出血而危及患者生命的可能[2]。超聲檢查被認為是目前早期診斷異位妊娠最有效的方法之一，具有無創(chuàng)、可重復(fù)、獲得結(jié)果快等優(yōu)點，被臨床廣泛應(yīng)用[3]。通過超聲檢查能有效判斷早期異位妊娠的部位，進而為臨床治療提供一定指導(dǎo)，做到早發(fā)現(xiàn)、早診斷、早治療，有效避免因孕囊破裂大出血而危及患者生命的情況發(fā)生[4]。目前，臨床上針對婦科患者較為常用的超聲檢查方法有經(jīng)陰道與經(jīng)腹部，以上操作各有所長[5]。為更好地提高超聲檢查在異位妊娠中的應(yīng)用價值，本研究主要探討經(jīng)陰道與腹腔超聲在婦科病變鑒別診斷中的應(yīng)用價值，現(xiàn)報道如下。