• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

经腹超声与经阴道超声在异位妊娠早期诊断中的临床效果评估

Evaluation of clinical effect of transabdominal sonography and transvaginal sonography in early diagnosis of ectopic gestation.

作者信息

Li Yinghui, Feng Tao, Sun Jiandong

机构信息

Yinghui Li, Dept. of Health Examination, Binzhou People's Hospital, Shandong 256610, China.

Tao Feng, Dept. of Special Inspection, Binzhou People's Hospital, Shandong 256610, China.

出版信息

Pak J Med Sci. 2017 Jan-Feb;33(1):53-58. doi: 10.12669/pjms.331.11444.

DOI:10.12669/pjms.331.11444
PMID:28367172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5368329/
Abstract

OBJECTIVE

To analyze the application of transabdominal sonography and transvaginal sonography in early diagnosis of pregnancy and to provide a reference for the selection of diagnosis methods in clinic.

METHODS

One hundred and eighty patients who were admitted into the hospital from February 2013 to February 2014, received clinical diagnosis and were confirmed as ectopic gestation by surgery were selected as research objects. They were examined by transabdominal sonography, transvaginal sonography, and transabdominal sonography in combination with transvaginal sonography respectively. Besides, the ultrasonic performance was observed and compared with surgical pathological results to analyze and compare diagnostic accordance rate.

RESULTS

The positive rate of transabdominal sonography in combination with transvaginal sonography was much higher than that of transabdominal sonography and transvaginal sonography and the differences had statistical significance (P<0.05). The detection rate of different positive characteristics using the combined examination was much higher than that of transabdominal sonography and transvaginal sonography, and the differences had statistical significance (P<0.05). The detection rates of different types of ectopic gestation and different sizes of mass using transabdominal sonography in combination of transvaginal sonography were higher than that of transabdominal sonography and transvaginal sonography (P<0.05).

CONCLUSION

Transabdominal sonography in combination with transvaginal sonography can complement information, improve detection rate, and reduce or avoid misdiagnosis and missed diagnosis, which provides a scientific basis for the formulation of clinical treatment scheme.

摘要

目的

分析经腹超声检查与经阴道超声检查在早期妊娠诊断中的应用，为临床诊断方法的选择提供参考。

方法

选取2013年2月至2014年2月入院接受临床诊断并经手术确诊为异位妊娠的180例患者作为研究对象。分别对其进行经腹超声检查、经阴道超声检查以及经腹超声联合经阴道超声检查。此外，观察超声表现并与手术病理结果进行比较，分析比较诊断符合率。

结果

经腹超声联合经阴道超声检查的阳性率远高于经腹超声检查和经阴道超声检查，差异具有统计学意义（P<0.05）。联合检查对不同阳性特征的检出率远高于经腹超声检查和经阴道超声检查，差异具有统计学意义（P<0.05）。经腹超声联合经阴道超声检查对不同类型异位妊娠及不同大小包块的检出率均高于经腹超声检查和经阴道超声检查（P<0.05）。

结论

经腹超声联合经阴道超声检查可互补信息，提高检出率，减少或避免误诊和漏诊，为临床治疗方案的制定提供科学依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/054ce4b55be0/PJMS-33-53-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/374dd7e5d47f/PJMS-33-53-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/aef5bf5cc9fc/PJMS-33-53-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/054ce4b55be0/PJMS-33-53-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/374dd7e5d47f/PJMS-33-53-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/aef5bf5cc9fc/PJMS-33-53-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355f/5368329/054ce4b55be0/PJMS-33-53-g003.jpg

相似文献

1
Evaluation of clinical effect of transabdominal sonography and transvaginal sonography in early diagnosis of ectopic gestation.经腹超声与经阴道超声在异位妊娠早期诊断中的临床效果评估
Pak J Med Sci. 2017 Jan-Feb;33(1):53-58. doi: 10.12669/pjms.331.11444.
2
Miscarriage diagnosis and gestational age estimation in the early first trimester of pregnancy: transabdominal versus transvaginal sonography.
Ultrasound Obstet Gynecol. 1993 Jan 1;3(1):36-41. doi: 10.1046/j.1469-0705.1993.03010036.x.
3
Diagnosis of ectopic pregnancy: endovaginal vs transabdominal sonography.异位妊娠的诊断：经阴道超声检查与经腹超声检查
AJR Am J Roentgenol. 1990 Aug;155(2):307-10. doi: 10.2214/ajr.155.2.2115257.
4
Comparison of transvaginal and transabdominal sonography in the detection of early pregnancy and its complications.
AJR Am J Roentgenol. 1988 Dec;151(6):1139-43. doi: 10.2214/ajr.151.6.1139.
5
Endometrial abnormalities: evaluation with transvaginal sonography.子宫内膜异常：经阴道超声检查评估
AJR Am J Roentgenol. 1988 Jan;150(1):139-42. doi: 10.2214/ajr.150.1.139.
6
Comparison of the application value of transvaginal ultrasound and transabdominal ultrasound in the diagnosis of ectopic pregnancy.经阴道超声与经腹超声在异位妊娠诊断中的应用价值比较。
World J Clin Cases. 2023 May 6;11(13):2945-2955. doi: 10.12998/wjcc.v11.i13.2945.
7
Endovaginal sonographic evaluation of ectopic pregnancy: a prospective study.经阴道超声对异位妊娠的评估：一项前瞻性研究。
AJR Am J Roentgenol. 1987 Dec;149(6):1181-6. doi: 10.2214/ajr.149.6.1181.
8
Transvaginal sonography: comparison with transabdominal sonography in the diagnosis of pelvic masses.经阴道超声检查：与经腹超声检查在盆腔肿块诊断中的比较。
AJR Am J Roentgenol. 1988 Jul;151(1):89-92. doi: 10.2214/ajr.151.1.89.
9
Correlation Between Cervical Lengths Measured by Transabdominal and Transvaginal Sonography for Predicting Preterm Birth.经腹超声与经阴道超声测量宫颈长度预测早产的相关性
J Ultrasound Med. 2016 Mar;35(3):537-44. doi: 10.7863/ultra.15.03026. Epub 2016 Feb 18.
10
Transvaginal versus transabdominal sonography in the evaluation of pelvic pathology.经阴道超声与经腹超声在盆腔病变评估中的比较。
J Coll Physicians Surg Pak. 2004 Jul;14(7):390-3.

引用本文的文献

1
Optimizing Care for High-Risk Multiple Pregnancy with POCUS - A Case of Quadruplet Pregnancy Early Diagnosis.使用床旁超声优化高危多胎妊娠护理——一例四胞胎妊娠早期诊断病例
POCUS J. 2023 Nov 27;8(2):126-128. doi: 10.24908/pocus.v8i2.16562. eCollection 2023.
2
Gynecological emergency ultrasound in daytime and at night: differences that cannot be ignored.日间与夜间的妇科急诊超声检查：不容忽视的差异。
Ther Clin Risk Manag. 2018 Jun 20;14:1141-1147. doi: 10.2147/TCRM.S169165. eCollection 2018.

本文引用的文献

1
Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location.诊断异位妊娠和不明位置妊娠管理的当前概念。
Hum Reprod Update. 2014 Mar-Apr;20(2):250-61. doi: 10.1093/humupd/dmt047. Epub 2013 Oct 6.
2
Clinical diagnosis and treatment of ectopic pregnancy.异位妊娠的临床诊断与治疗。
Obstet Gynecol Surv. 2013 Aug;68(8):571-81. doi: 10.1097/OGX.0b013e31829cdbeb.
3
Does this woman have an ectopic pregnancy?: the rational clinical examination systematic review.这位女性是否患有宫外孕？：合理临床检查系统评价。
JAMA. 2013 Apr 24;309(16):1722-9. doi: 10.1001/jama.2013.3914.
4
Value of transvaginal sonography in diagnosing heterotopic pregnancy after in-vitro fertilization with embryo transfer.经阴道超声在诊断体外受精胚胎移植后异位妊娠中的价值。
Ultrasound Obstet Gynecol. 2013 May;41(5):563-9. doi: 10.1002/uog.12341.
5
Transvaginal sono-guided aspiration of gestational sac concurrent with a local methotrexate injection for the treatment of unruptured cesarean scar pregnancy.经阴道超声引导下妊娠囊抽吸术联合局部甲氨蝶呤注射治疗未破裂剖宫产瘢痕妊娠。
Arch Gynecol Obstet. 2013 Aug;288(2):361-6. doi: 10.1007/s00404-013-2765-4. Epub 2013 Feb 27.
6
Reliability of adnexal mass mobility in distinguishing possible ectopic pregnancy from corpus luteum cysts.附件包块活动度在鉴别可能的异位妊娠与黄体囊肿中的可靠性。
J Ultrasound Med. 2005 May;24(5):599-603; quiz 605. doi: 10.7863/jum.2005.24.5.599.