论文部分内容阅读
目的:探讨并评价B超检查、尿HCG测定及阴道后穹窿穿刺在异位妊娠早期诊断中联合应用价值。方法:应用B超检查、尿HCG测定及阴道后穹窿穿刺的方法检查了644例疑为异位妊娠患者。结果:检出异位妊娠118例,其中临床确诊112例,其敏感度为99.11％,特异度为98.86％,阳性预告值为94.92％,准确度为98.76％。112例中早期诊断96例,占85.71％。结论:结果显示B超检查、尿HCG测定及阴道后穹窿穿刺能早期准确的诊断异位妊娠,具有准确度高、不需特殊设备、操作简便等特点,可在基层广泛应用。
Objective: To investigate and evaluate the value of B-ultrasound, urinary HCG determination and vaginal culdtion in the early diagnosis of ectopic pregnancy. Methods: 644 suspected patients with ectopic pregnancy were examined with B-ultrasound, urinary HCG and vaginal culdinal puncture. Results: Ectopic pregnancy was detected in 118 cases, of which 112 cases were clinically diagnosed. The sensitivity and specificity were 99.11% and 98.86% respectively. The positive predictive value was 94.92% and the accuracy was 98.76%. In 112 cases, 96 cases were diagnosed early, accounting for 85.71%. Conclusion: The results show that B-ultrasound, urinary HCG determination and vaginal culdocentesis can accurately diagnose ectopic pregnancy early, with high accuracy, no special equipment, easy operation and so on, can be widely used in the grassroots.