刘贵芳

【摘要】 目的：探讨腹部超声联合阴道超声在少见部位异位妊娠患者中的诊断价值。方法：选取2014年1月-2019年10月于笔者所在医院接受治疗的107例少见部位异位妊娠患者作为研究对象，均接受腹部超声及阴道超声检查，对比单用腹部超声检查与腹部超声+阴道超声检查的不同部位妊娠检出率。结果：单用腹部超声检查与腹部超声+阴道超声检查的残角妊娠、宫颈妊娠检出率对比，差异无统计学意义（P>0.05）;腹部超声+阴道超声检查的卵巢妊娠、间质部妊娠、宫角妊娠、瘢痕妊娠检出率均明显高于单用腹部超声检查，差异均有统计学意义（P<0.05）。结论：在少见部位异位妊娠患者的临床诊断中，采用腹部超声联合阴道超声进行检查有较高的诊断价值，可为临床医师提供更加全面、完整的声像图信息，有利于降低误诊和漏诊率，显著提高临床检出率，值得进一步推广和应用。

【关键词】 腹部超声 阴道超声 少见部位异位妊娠 诊断价值

doi：10.14033/j.cnki.cfmr.2020.19.034 文献标识码 B 文章编号 1674-6805（2020）19-00-02

Diagnostic Value of Abdominal Ultrasound Combined with Vaginal Ultrasound in Patients with Rare Site of Ectopic Pregnancy/LIU Guifang. //Chinese and Foreign Medical Research， 2020， 18（19）： -86

[Abstract] Objective： To explore the diagnostic value of abdominal ultrasound combined with vaginal ultrasound in patients with rare site of ectopic pregnancy. Method： A total of 107 patients with rare site of ectopic pregnancy who were treated in our hospital from January 2014 to October 2019 were selected as the study targets. All patients received abdominal ultrasound and vaginal ultrasound examination. The pregnancy detection rates of different sites were compared between single abdominal ultrasound and abdominal ultrasound+vaginal ultrasound. Result： The detection rate of residual horn pregnancy and cervix pregnancy of single abdominal ultrasound were compared with those of abdominal ultrasound+vaginal ultrasound， and the differences were not statistically significant （P>0.05）. The detection rate of ovarian pregnancy， interstitial pregnancy， uterine horn pregnancy and scar pregnancy of abdominal ultrasound+vaginal ultrasound were significantly higher than those of single abdominal ultrasound， and the differences were statistically significant （P<0.05）. Conclusion： In the clinical diagnosis of patients with rare site of ectopic pregnancy， the use of abdominal ultrasound combined with vaginal ultrasound for examination has higher diagnostic value. It can provide clinicians with more comprehensive and complete sonographic information， which can reduce the incidences of misdiagnosis and missed diagnosis， significantly improve the clinical detection rate， and it is worth further promotion and application.

[Key words] Abdominal ultrasound Vaginal ultrasound Rare site of ectopic pregnancy Diagnostic value

First-authors address： Dongguan Nancheng Hospital， Dongguan 523000， China

異位妊娠是临床中的常见疾病，是指孕卵在子宫腔外着床发育的一种异常妊娠过程，若不及时诊断和治疗，有可能危及患者的生命安全。在异位妊娠中，以输卵管妊娠最为常见。但临床上仍存在一些少见部位的异位妊娠，在检查时容易被忽视，增加漏诊率和误诊率。超声检查在异位妊娠的临床诊断中有较高的应用价值，其中，腹部超声和阴道超声是主要的检查方式，而对于少见部位异位妊娠患者，究竟选择何种检查方式可获得更为准确的诊断结果，一直是临床上关注的热点话题[1-2]。本研究选取已确诊为少见部位异位妊娠患者107例，旨在评价阴道超声联合腹部超声的临床诊断价值，详述如下。

1 资料与方法

1.1 一般资料

选取2014年1月-2019年10月于笔者所在医院治疗的107例少见部位异位妊娠患者作为研究对象。纳入……