李雪双

【摘 要】目的：探讨在产褥期妇女保健服务中开展产后上门访视服务的临床价值。方法：选取2020年6月至2021年6月期间我院接收的80例产褥期产妇，采用双色球分组法将其平均分成两组，对照组产妇采取常规产后护理；研究组产妇在对照组基础上采取产后上门访视服务。对比两组产妇健康信念评分、并发症发生率以及护理满意度。结果：研究组产妇产褥期健康信念评分较对照组产妇显著提升（P<0.05）；研究组产妇在产褥期并发症发生率较对照组显著降低（P<0.05）；研究组产妇对护理人员工作满意度较对照组产妇明显提高（P<0.05）。结论：对产褥期产妇开展产后上门访视服务有助于提高产妇的健康信念，减少并发症，建议推广应用。

【关键词】阴道彩超；早期异位妊娠；诊断价值；准确率

The clinical diagnostic value of transvaginal color Doppler ultrasound in early ectopic pregnancy

LI Xueshuang

dunhua Maternal and Child Health Care Family Planning Service Center， Yanbian， Jilin 133700， China

【Abstract】Objective： To study the clinical diagnostic value of transvaginal color Doppler ultrasound in early ectopic pregnancy. Methods： 68 patients with early ectopic pregnancy who were treated in the undergraduate room from July 2019 to December 2020 were selected as the subjects of this study. All patients underwent vaginal color Doppler ultrasound and abdominal color Doppler ultrasound examination； The results of vaginal color Doppler ultrasound and abdominal color Doppler ultrasound examination respectively were compared with the surgical pathological examinations of the patients and the diagnostic accuracy rates of the two groups of patients were counted. Results： The accuracy rate of transvaginal color Doppler ultrasound examination was 91.18%， and the accuracy rate of transabdominal color Doppler ultrasound examination was 63.24%. There was a significant difference between the two groups（P<0.05）； The imaging indexes of transvaginal color Doppler ultrasound examination were higher， and the difference between the two groups was statistically significant（P<0.05）. Conclusion： The clinical application effect of transvaginal color Doppler ultrasound in early ectopic pregnancy is very significant. It can effectively improve the diagnostic accuracy of early ectopic pregnancy. It has clinical value and is worth popularizing.

【Key？Words】Vaginal color Doppler ultrasound； Early ectopic pregnancy； Diagnostic value； Accuracy

異位妊娠是指妊娠囊在子宫体外着床，俗称宫外孕，异位妊娠的原因较多，常见原因为慢性输卵管炎，包括卵巢黏膜炎，输卵管周围炎，其次见于盆腔术后炎症，输卵管本身发育不良，畸形，功能障碍以及胚胎畸形，受精卵游走，或者女性有不良妊娠史，卵巢巨大囊肿或者子宫肌瘤等。如月经正常的女性出现6周～8周停经史，且伴有轻重不一的腹痛，或者不规则阴道出血，需考虑异味妊娠的可能性，发生妊娠囊破裂时表现为阴道大量出血，严重者会出现一过性晕厥甚至休克，需尽快到医院就诊，避免出现生命危险。如何能够在早期检查出异位妊娠是专家们研究的重点[1-2]。本次研究将随机选取2019年7月至2020年12月在本科室接受治疗的早期异位妊娠患者68例作为本次研究的对象，研究探讨经阴道彩超在早期异位妊娠中的临床诊断价值，现总结如下。……