|Observation on the clinical application value of different color Doppler ultrasonographies in the diagnosis of early ectopic pregnancy
|中文关键词: 不同彩超 方式诊断 早期异位妊娠 超声
|英文关键词:Different color Doppler ultrasonographies Diagnostic mode Early ectopic pregnancy Ultrasonography
| 目的 观察不同彩超方式诊断早期异位妊娠中的临床应用价值分析。方法 选取2017 年1 月至2020 年1 月收治的疑似214 例早期异位妊娠患者，行经阴道彩色多普勒超声（TVCDS）与经腹彩色多普勒超声（TACDS）检查，最终经手术证实确定为早期异位妊娠诊断患者209 例。分析两种检查的影像学表现检出率，手术结果与检查结果，不同彩超方式诊断的敏感性与特异性。结果 试验组阴道超声胚芽检出率、盆腔积液检出率、原始血管搏动率、附件包块检出率均高于对照组，差异有统计学意义（P＜0.05）。阴道超声检查结果异位妊娠检出率为90.65%，诊断准确性为91.59%。腹部超声，异位妊娠检出率为76.17%，诊断准确性为91.59%。阴道超声敏感性（92.82%）高于腹部超声（77.99%），差异有统计学意义（P＜0.05）。而阴道超声特异性、阳性预测值、阴性预测值稍高于腹部超声，差异无统计学意义（P＞0.05）。结论 在早期异位妊娠的诊断中，实施超声检查具有操作简单、对身体伤害小、可重复性高等优势，但是相对于经腹部超声，采用经阴道超声检查方式的典型异位妊娠超声影像学检出率更高，诊断准确性、敏感性与特异性更高，效果较显著。
| Objective To observe the clinical application value of different color Doppler ultrasonographies in the diagnosis of early ectopic pregnancy.Methods A total of 214 patients suspected early ectopic pregnancy admitted to and treated in our hospital from January 2017 to January 2020 were all examined by transvaginal color Doppler sonography（TVCDS）and transabdominal color Doppler sonography（TACDS）.And finally，209 patients with early ectopic pregnancy were confirmed by surgery.The detection rate of imaging manifestations，surgical results and examination results of the two examinations，as well as the diagnostic sensitivity and specificity by different color Doppler ultrasonographies were analyzed.Results The detection rates of vaginal ultrasonography germ，pelvic effusion，original blood vessel pulsa tion and adnexal masses were all higher than those of the control group，with statistically significant differences（P＜0.05）.The detection rate of ectopic pregnancy was 90.65% and the diagnostic accuracy was 91.59% by vaginal ultrasonography.The detection rate of the ectopic pregnancy was 76.17%，and the diagnostic accuracy was 91.59% by abdominal ultrasonography.The sensitivity of vaginal ultrasonography was 92.82%，which was higher than 77.99% of abdominal ultrasonography（P＜0.05）.However，the specificity，positive predictive value and negative predictive value of vaginal ultrasonography were slightly higher than those of abdominal ultrasonography，without statistically significant differences（P＞0.05）.Conclusion In the diagnosis of early ectopic pregnancy，the implementation of ultrasonography has the advantages of simplicity，less harm to the body and high repeatability，etc.However，compared with transabdominal ultrasonography，the typical ectopic pregnancy by transvaginal ultrasonography has higher detection rate，diagnostic accuracy，sensitivity and specificity，which is satisfying in the results.
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