超声诊断异位妊娠的准确率及其影响因素分析

Analysis of the Accuracy of Ultrasound Diagnosis of Ectopic Pregnancy and its Influencing Factors

XU Hong

（DepartmentofUrasound，LongnanHospitalofTaditionalineseedicine，Longnan347oo，angi，ina）

Abstract：Obectieaateucfulrasodinhosisfoicregncdtsfuengtoseodsalof patientswithuspectetopicpregancyoeretreatedinLngnanHspialofTadiioaCineseediciefroJuary2tOctob were selected as the research objects.Ultrasound diagnosis was performed before or after admision.Urinary T I+ ，decreased blood HCG，posterior forixperforatonwitoutcoagulationultrasoundrexaminationandsurgicalmetodswereusedastegoldstandardtoanalyzetevalueof ultrasoundinasioicacddeedntiscofsedosisdagsisoicc ultrasoundwereaalydResultsTheostivepredictivevalue，negativepredictivevalueensitityspecifityccuracy，Youdeie misdiagnosis rate and missed diagnosis rate of ectopic pregnancy diagnosed by ultrasound were 9 7 . 4 4 % ， 8 0 . 9 5 % 9 0 . 4 8 % 9 4 . 4 4 % 9 1 . 6 7 % ， 8 4 . 9 2 % ， （204号 5 . 5 6 % and 9 . 5 2 % ，respectively.Univariate analysis showed that diffrent BMI，pelvic effusion，decreased serum β -hCG，menopause time and unexplaiedpregnancywere theinfluencing factorsof theaccuracyof ultrasounddiagnosisof ectopicpregnancy .Multivariate analysis showed that ，pelvic effusion，decreased serum β -hCG，menopause time>6 weeks and unexplained pregnancy were independent risk factors affecting the accuracy of ultrasound diagnosis of ectopic pregnancy .Conclusion Ultrasound diagnosis technology has a high clinical diagnosisateilegfbaocateilososeo formisdiagosisdsedosisoiesureucetiblofossdo Key Words：Ultrasonic diagnosis；Ectopic pregnancy；Diagnostic value；Misdiagnose；Missed diagnosis

异位妊娠（ectopicpregnancy）属于妇科高发性急腹症，是由受精卵未在宫腔内着床及发育而诱发，若不能及时诊疗，将诱发出血，甚至是造成患者死亡。（剩余4991字）