title: Evaluation of clinical effect of transabdominal sonography and transvaginal sonography in early diagnosis of ectopic gestation.
abstract: OBJECTIVE
  To analyze the application of transabdominal sonography and transvaginal sonography in early diagnosis of pregnancy and to provide a reference for the selection of diagnosis methods in clinic.
  
  
  METHODS
  One hundred and eighty patients who were admitted into the hospital from February 2013 to February 2014, received clinical diagnosis and were confirmed as ectopic gestation by surgery were selected as research objects. They were examined by transabdominal sonography, transvaginal sonography, and transabdominal sonography in combination with transvaginal sonography respectively. Besides, the ultrasonic performance was observed and compared with surgical pathological results to analyze and compare diagnostic accordance rate.
  
  
  RESULTS
  The positive rate of transabdominal sonography in combination with transvaginal sonography was much higher than that of transabdominal sonography and transvaginal sonography and the differences had statistical significance (P<0.05). The detection rate of different positive characteristics using the combined examination was much higher than that of transabdominal sonography and transvaginal sonography, and the differences had statistical significance (P<0.05). The detection rates of different types of ectopic gestation and different sizes of mass using transabdominal sonography in combination of transvaginal sonography were higher than that of transabdominal sonography and transvaginal sonography (P<0.05).
  
  
  CONCLUSIONS
  Transabdominal sonography in combination with transvaginal sonography can complement information, improve detection rate, and reduce or avoid misdiagnosis and missed diagnosis, which provides a scientific basis for the formulation of clinical treatment scheme.
authors.affiliation: Yinghui Li, Dept. of Health Examination, Binzhou People's Hospital, Shandong 256610, China.
authors.forename: Yinghui
authors.initials: Y
authors.lastname: Li
authors.affiliation: Tao Feng, Dept. of Special Inspection, Binzhou People's Hospital, Shandong 256610, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Feng
authors.affiliation: Jiandong Sun, Dept. of Special Inspection, Binzhou People's Hospital, Shandong 256610, China.
authors.forename: Jiandong
authors.initials: J
authors.lastname: Sun
keywords: Ectopic gestation; Transabdominal sonography; Transvaginal sonography