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| An Analysis of the Diagnostic Value of Transvaginal Ultrasound Combined with Abdominal Ultrasound in Ectopic Pregnancy |
| WU Qing, TANG Rong, CHEN Gang |
| West China Guang' an Hospital, Sichuan University, Sichuan Guang'an 638000, China |
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Abstract Objective: To explore the diagnostic value of vaginal ultrasound combined with abdominal ultrasound in the diagnosis of ectopic pregnancy (EP). Methods: A total of 115 patients who were diagnosed as possible EP were selected for the study. All patients underwent transvaginal ultrasound and abdominal ultrasound. The diagnostic results of transvaginal ultrasound, abdominal ultrasound and combined examination were evaluated, and the diagnostic efficacy was calculated, and the diagnostic accuracy rates of each type of EP by combined examination and single examination were compared, and the images of transvaginal ultrasound and abdominal ultrasound were analyzed. Results: The sensitivity and accuracy rate of transvaginal ultrasound were higher than those of abdominal ultrasound (P<0.05), and the sensitivity and accuracy rate of combined examination were higher than those of transvaginal ultrasound or abdominal ultrasound (P<0.05). There was no significant difference in the positive predictive value of each examination alone or in combination (P>0.05), and the negative predictive value of combined examination was higher than that of transvaginal ultrasound or abdominal ultrasound (P<0.05). The accuracy rate of tubal pregnancy and total accuracy rate of combined examination and transvaginal ultrasound were higher than those of abdominal ultrasound (P<0.05), and the accuracy rate of tubal pregnancy and total accuracy rate of combined examination were higher than those of transvaginal ultrasound (P<0.05). The coincidence rate of combined examination and transvaginal ultrasound in the diagnosis of EP was higher than that of abdominal ultrasound (P<0.05). Conclusion: The combination of transvaginal ultrasound and abdominal ultrasound promotes the diagnostic efficacy of EP and has certain clinical application value.
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2020, Vol. 26 
