简介: [ 摘要 ] 目的 分析經腹、阴道超声用于异位妊娠诊断的可行性。 方法 方便选取 2018 年 7 月— 2019 年 10 月期间医院经检查确诊为异位妊娠的 58 例女性患者作为该次观察对象,入院后所有患者先行经腹超声检查,后行阴道彩超检查,按临床检查方式不同分为两组(腹部组、联合组),每组 58 例,以最终确诊结果为金标准,组间比较两组异位妊娠检出率,对比不同异位妊娠部位两组检出情况,观察患者假孕囊、卵黄囊、盆腔积液等不同检查方式诊断情况。 结果 联合组确诊率为 98.3% ,高于腹部组 82.8% ( χ2=14.120 , P<0.05 );联合组腹腔、输卵管、宫颈、阔韧带诊断率为 100.0% 、 97.7% 、 100.0% 、 100.0% 高于腹部组 80.0% 、 86.0% 、 66.7% 、 50.0% ( χ2=22.222 、 6.068 、 39.952 、 66.667 , P<0.05 );联合组假孕囊、卵黄囊、附件包块、盆腔积液诊断率为 17. 2% 、 50.0% 、 93.1% 、 89.7% 高于腹部组 5.2% 、 22.4% 、 77.6% 、 74.1% ( χ2=7.239 、 12.804 、 9.607 、 8.208 , P<0.05 )。 结论 临床对异位妊娠者以腹部、阴道联合检查确诊率较高,能有效判断患者异位妊娠病灶部位,联合检查患者病理类型检出率高,临床可推广应用。 [ 关键词 ] 诊断;联合;超声;异位妊娠;阴道;腹部 [Abstract] Objective To analyze the feasibility of transabdominal and vaginal ultrasound for the diagnosis of ectopic pregnancy. Methods Convenient select a total of 58 female patients diagnosed as ectopic pregnancy were examined in the hospital from July 2018 to October 2019. All patients underwent transabdominal ultrasonography after vaginal ultrasonography. They were divided into two groups according to different clinical examination methods , ( abdominal group , combined group ), 58 patients in each group , with the final diagnosis as the gold standard , comparing the detection rate of ectopic pregnancy between the two groups , comparing the detection of different ectopic pregnancy sites , observing the patient's false pregnancy diagnosis of different examination methods such as cyst , yolk sac , and pelvic fluid. Results The diagnosis rate of the combined group was 98.3% , higher than that of the abdomen group 82.8% ( χ2=14.120 , P<0.05 ) . The diagnosis rate of the abdominal cavity , fallopian tube , cervix and broad ligament in the combined group was 100.0% , 97.7% , 100.0% , 100.0%. 80.0% , 86.0% , 66.7% , 50.0% , higher than the abdominal group ( χ2=22.222 , 6.068 , 39.952 , 66.667 , P<0.05 ); combined group pseudopregnancy sac , yolk sac The diagnostic rate of the accessory mass and pelvic fluid was 17.2% , 50.0% , 93.1% , 89.7% , higher than the abdominal group 5.2% , 22.4% , 77.6% , 74.1% ( χ2=7.239 , 12.804 , 9.607 , 8.208 , P<0.05 ) . Conclusion The clinical diagnosis of ectopic pregnancy is higher in the diagnosis of abdominal and vaginal examinations. It can effectively judge the location of ectopic pregnancy in patients. The detection rate of pathological types in patients with joint examination is high , and it can be promoted and applied clinically. [Key words] Diagnosis ; Combination ; Ultrasound ; Ectopic pregnancy ; Vagina ; Abdomen
简介:【摘要】目的比较并分析阴道彩超与腹部彩超对于异位妊娠进行诊断的临床诊断效果。方法采用回顾性分析的方法对于我院在 2018年 6月到 2020年 4月收治的 64例异位妊娠的患者作为本研究的研究对象,将其临床资料进行回顾性分析,所有患者经过临床病理检测,均被确诊为异位妊娠,对于所有患者均采用阴道彩超和腹部彩超进行诊断,比较两种诊断方法的效果和准确性。结果经过检验比较分析可以得出,腹部彩超存在有 60例患者的诊断结果和病理诊断结果相符合,经阴道彩超检测,存在有 56例患者的诊断结果和病理诊断结果相符合,两组诊断之间存在有差异性,但差异并不明显, P> 0.05,不具有统计学意义,两组诊断与临床病理诊断相比,无明显差异, P> 0.05,不具有统计学意义。结论经阴道彩超和经腹部彩超对于异位妊娠经诊断是两种较为有效的诊断方法,在诊断的过程当中能够提高其诊断的准确性,而且诊断的结果和术后切片检测诊断较为相近,具有较高的诊断价值,两种诊断方法不存在明显的差异,所以在临床诊断过程当中需要有机的结合,能够进一步在临床上提高异位妊娠的诊断率。
简介:【摘要】目的比较并分析阴道彩超与腹部彩超对于异位妊娠进行诊断的临床诊断效果。方法采用回顾性分析的方法对于我院在 2018年 6月到 2020年 4月收治的 64例异位妊娠的患者作为本研究的研究对象,将其临床资料进行回顾性分析,所有患者经过临床病理检测,均被确诊为异位妊娠,对于所有患者均采用阴道彩超和腹部彩超进行诊断,比较两种诊断方法的效果和准确性。结果经过检验比较分析可以得出,腹部彩超存在有 60例患者的诊断结果和病理诊断结果相符合,经阴道彩超检测,存在有 56例患者的诊断结果和病理诊断结果相符合,两组诊断之间存在有差异性,但差异并不明显, P> 0.05,不具有统计学意义,两组诊断与临床病理诊断相比,无明显差异, P> 0.05,不具有统计学意义。结论经阴道彩超和经腹部彩超对于异位妊娠经诊断是两种较为有效的诊断方法,在诊断的过程当中能够提高其诊断的准确性,而且诊断的结果和术后切片检测诊断较为相近,具有较高的诊断价值,两种诊断方法不存在明显的差异,所以在临床诊断过程当中需要有机的结合,能够进一步在临床上提高异位妊娠的诊断率。
简介: 摘要:目的:对比分析经腹部彩超与经阴道彩超在异位妊娠诊断中的应用效果。方法:此次研究的对象是选取 50例在我院接受手术治疗的异位妊娠患者,将其临床资料进行回顾性分析,并根据超声检查方式不同分为 2组,对照组 20例患者进行经腹彩超检查,实验组 30例患者实施经阴道超声检查,以手术病理结果为金标准,比较两组诊断符合率。结果:实验组对异位妊娠的诊断符合率为 96.67%,高于对照组 80.0%;实验组对胚芽、盆腔积液、附件包块、卵黄囊、假孕囊的检出率也高于对照组;实验组诊断所需时间平均为( 4.68±1.05) min,短于对照组( 9.43±1.75) min。结论:与经腹彩超相比,应用经阴道彩超检查诊断异位妊娠的效果更理想,具有操作简单、图像清晰、准确性高,诊断时间快等优点,值得推广。
简介: 摘要:目的:对比分析经腹部彩超与经阴道彩超在异位妊娠诊断中的应用效果。方法:此次研究的对象是选取 50例在我院接受手术治疗的异位妊娠患者,将其临床资料进行回顾性分析,并根据超声检查方式不同分为 2组,对照组 20例患者进行经腹彩超检查,实验组 30例患者实施经阴道超声检查,以手术病理结果为金标准,比较两组诊断符合率。结果:实验组对异位妊娠的诊断符合率为 96.67%,高于对照组 80.0%;实验组对胚芽、盆腔积液、附件包块、卵黄囊、假孕囊的检出率也高于对照组;实验组诊断所需时间平均为( 4.68±1.05) min,短于对照组( 9.43±1.75) min。结论:与经腹彩超相比,应用经阴道彩超检查诊断异位妊娠的效果更理想,具有操作简单、图像清晰、准确性高,诊断时间快等优点,值得推广。
简介: 【摘要】 目的:研究分析阴道彩超联合腹部彩超在异位妊娠诊断中的应用效果。方法:此次研究的对象是选择在我院临床诊断为异位妊娠患者 120例,将其临床资料进行回顾性分析,并随机分成两组,观察组使用阴道彩超联合腹部彩超进行检查,对照组单独使用阴道彩超检查,比较两组检查异位妊娠的效果。结果:观察组患者采用阴道彩超联合腹部彩超进行检查, 120例患者中确诊为异位妊娠有 115例,诊断的准确率 95.83%。对照组采用阴道彩超检查, 120例患者中确诊为异位妊娠的患者有 87例,诊断的准确率为 72.5%。观察组与对照组相比较,差异有统计学意义( P<0.05)。子宫附件区包块、胚芽、胎心、卵黄囊、盆腔积液、子宫腔假孕囊等彩超扫描中,观察组扫描信号阳性率为 95.83% ( 115/120),对照组为 78.33%( 95/120),观察组与对照组比较,差异有统计学意义( P<0.05)。结论:阴道彩超联合腹部彩超诊断异位妊娠准确率高,具有较高的临床价值,值得推广应用。 【关键词】 异位妊娠; 阴道彩超; 腹部彩超; 应用分析 [Abstract] Objective: To study and analyze the application effect of vaginal color Doppler ultrasound combined with abdominal color Doppler ultrasound in the diagnosis of ectopic pregnancy. Methods: 120 cases of ectopic pregnancy were selected in our hospital. The clinical data were retrospectively analyzed and randomly divided into two groups. The observation group was examined by vaginal color Doppler ultrasound combined with abdominal color Doppler ultrasound, while the control group was examined by vaginal color Doppler ultrasound alone. Results: in the observation group, 115 cases were diagnosed as ectopic pregnancy, and the accuracy rate was 95.83%. In the control group, 87 cases were diagnosed as ectopic pregnancy, and the accuracy rate was 72.5%. Compared with the control group, the difference was statistically significant (P < 0.05). The positive rate of scanning signal in the observation group was 95.83% (115 / 120) and that of the control group was 78.33% (95 / 120). The difference between the observation group and the control group was statistically significant (P < 0.05). Conclusion: Transvaginal Color Doppler ultrasound combined with abdominal color Doppler ultrasound in the diagnosis of ectopic pregnancy has high accuracy and high clinical value, which is worthy of promotion and application.
简介: [摘要 ] 目的 探讨分析高频彩超联合低频彩超在非典型性急性阑尾炎诊断中的临床价值。方法 方便选择 2018年 1月— 2019年 1月该院收治的 50例非典型性急性阑尾炎患者为研究对象,对所有患者给予高频彩超、低频彩超检查,并观察高频联合低频彩超与单纯展开高频、低频彩超检查在临床诊断中的应用价值。结果 经低频、高频彩超及高低频联合检查诊断符合率分别为 54.0%、 84.0%、 96.0%;其中高、低频彩超诊断符合率低于高低频联合,且低频彩超诊断符合率低于高频诊断符合率,组间相比差异有统计学意义( P<0.05)。结论 对非典型性急性阑尾炎患者在临床诊断中行高频彩超联合低频彩超检查,可进一步提高临床诊断准确率,值得在临床治疗中普及与推广。 [关键词 ] 非典型性急性阑尾炎 ;高频彩超 ;低频彩超 [Abstract] Objective To explore the clinical value of high frequency ultrasound combined with low frequency ultrasound in the diagnosis of atypical acute appendicitis. Methods 50 patients with atypical acute appendicitis from January 2018 to January 2019 were selected as the study objects. All patients were examined with high-frequency and low-frequency ultrasound, and the application value of high-frequency combined with low-frequency ultrasound and simple high-frequency and low-frequency ultrasound in clinical diagnosis was observed. Results the diagnostic coincidence rates of low frequency, high frequency and high low frequency were 54.0%, 84.0% and 96.0%, respectively. The diagnostic coincidence rates of high and low frequency were lower than that of high and low frequency, and the diagnostic coincidence rates of low frequency and high frequency were lower than that of high frequency (P < 0.05). Conclusion high frequency ultrasound combined with low frequency ultrasound in the clinical diagnosis of atypical acute appendicitis can further improve the accuracy of clinical diagnosis, which is worthy of popularization and promotion in clinical treatment.
简介: [摘要 ] 目的 探讨分析高频彩超联合低频彩超在非典型性急性阑尾炎诊断中的临床价值。方法 方便选择 2018年 1月— 2019年 1月该院收治的 50例非典型性急性阑尾炎患者为研究对象,对所有患者给予高频彩超、低频彩超检查,并观察高频联合低频彩超与单纯展开高频、低频彩超检查在临床诊断中的应用价值。结果 经低频、高频彩超及高低频联合检查诊断符合率分别为 54.0%、 84.0%、 96.0%;其中高、低频彩超诊断符合率低于高低频联合,且低频彩超诊断符合率低于高频诊断符合率,组间相比差异有统计学意义( P<0.05)。结论 对非典型性急性阑尾炎患者在临床诊断中行高频彩超联合低频彩超检查,可进一步提高临床诊断准确率,值得在临床治疗中普及与推广。 [关键词 ] 非典型性急性阑尾炎 ;高频彩超 ;低频彩超 [Abstract] Objective To explore the clinical value of high frequency ultrasound combined with low frequency ultrasound in the diagnosis of atypical acute appendicitis. Methods 50 patients with atypical acute appendicitis from January 2018 to January 2019 were selected as the study objects. All patients were examined with high-frequency and low-frequency ultrasound, and the application value of high-frequency combined with low-frequency ultrasound and simple high-frequency and low-frequency ultrasound in clinical diagnosis was observed. Results the diagnostic coincidence rates of low frequency, high frequency and high low frequency were 54.0%, 84.0% and 96.0% respectively. The diagnostic coincidence rates of high and low frequency were lower than that of high and low frequency, and the diagnostic coincidence rates of low frequency and high frequency were lower than that of high frequency (P < 0.05). Conclusion high frequency ultrasound combined with low frequency ultrasound in the clinical diagnosis of atypical acute appendicitis can further improve the accuracy of clinical diagnosis, which is worthy of popularization and promotion in clinical treatment.
简介:[摘要 ] 目的:对妇产科急腹症使用彩超诊断的临床效果。 方法:我院对 60例妇产科急腹症患者开展分析研究,对患者进行彩超检查,分析检查结果和病理结果。 结果:彩超诊断后,有 21例不完全流产患者,有 20例符合,准确率是 95.24%;有 15例滋养细胞病变患者,彩超检查出 13例,准确率是 86.67%;有 19例异位妊娠患者,彩超检查出 16例,准确率是 84.21%;有 5例宫腔内凝血患者,彩超检查出 4例,准确率是 80.00%,彩超结果和病理结果差异性不明显,因此彩超的诊断准确率非常高。 结论:妇产科急腹症的诊断使用彩超具有可重复使用,操作简单,准确率高等优势,临床中可以推广使用。 [关键词 ] 彩超诊断;妇产科;急腹症;临床价值;研究;观察
简介:【摘要】目的:分析护理干预在彩超工作中应用的方法及临床可行性。方法:纳入范围2019年1月至2020年7月,均为行彩超的病患,病例数为100例,按照不同护理实施方案均分组别,观察组(n=50)开展综合护理措施,对照组(n=50)开展基础护理措施,将两组病患对护理服务质量评分水平、依从性进行比对。结果:观察组病患对护理服务质量评分水平更高,两组数据P<0.05比对差异大;观察组病患依从性更高,两组数据P<0.05比对差异大。结论:护理干预在彩超工作中应用的临床可行性更高,可有效提高护理水平,改善病患对护理服务的满意度,改善互换关系,提升患者配合度,可积极推广。