Abstract：Objective: To compare the application value of transvaginal and transabdominal color Doppler ultrasound in the diagnosis of early ectopic pregnancy. Methods: The clinical data of 123 pregnant women with ectopic pregnancy who were admitted to our hospital from September 2019 to July 2022 were retrospectively analyzed, including the characteristics of transvaginal color Doppler ultrasound and abdominal color Doppler ultrasound. Taking the postoperative pathological results as the gold standard, the efficacy of the two color Doppler ultrasound in diagnosing early ectopic pregnancy was analyzed. Results: Postoperative pathological examination revealed 86 cases of ectopic pregnancy, accounting for 69.92%. Among them, there were 71 cases of mass type, 6 cases of rupture type, 9 cases of gestational sac survival type. The sensitivity, accuracy and negative predictive value of transvaginal color Doppler ultrasound in diagnosing early ectopic pregnancy are higher than those of abdominal color Doppler ultrasound (P<0.05). Kappa value of early ectopic pregnancy diagnosed by transvaginal color Doppler ultrasound is 0.825, which is higher than 0.452 of abdominal color Doppler ultrasound. In early ectopic pregnancy, the visible detection rates of the original heart tube beat, uterus rectal fossa effusion, intrauterine pregnancy sac, adnexal mass were higher than those of abdominal ultrasound (P<0.05). Conclusion: Both transvaginal color Doppler ultrasound and abdominal color Doppler ultrasound can provide some reference for the diagnosis of early ectopic pregnancy, and the diagnostic efficiency and reference value of transvaginal color Doppler ultrasound are higher.
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2023, Vol. 29 
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