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A COMPARATIVE RESEARCH TO DETERMINE TRANS-VAGINAL AND TRANS-ABDOMINAL ULTRASONOGRAPHY ACCURACY TO DETECT ECTOPIC GESTATION

Dr. Tayyaba Khadim, Dr. Mehwish Naz Hashmi, Dr. Neelum Ijaz

Objective: The purpose of the research was to determine Tran’s abdominal ultrasonography correctness in the detection of ectopic gestation verified on Tran’s vaginal sonography. Material and Methods: This comparative research was carried out at Services Hospital, Lahore from October 2017 to July 2018. The number of patients enrolled for research was one-hundred & ninety-six having sixteen to forty years of age with the suspension of ectopic gestation. Those patients having the immature rapture of the membrane, gynecological tumour and urogenital abnormality were not included in the research. At the start, entire patients were passes through Transabdominal and Tran’s vaginal sonography. The results of Tran’s vaginal ultrasonography were compared with the results of Tran’s abdominal sonography. Results: Age range in our research was from sixteen to forty years with (26.89 ± 5.43) of average years. Maximum numbers of the patients (52.55%) were less than sixteen weeks of gestational age with (13.33 ± 2.12) weeks of average pregnancy age. Those patients who were presented positive through Tran’s abdominal sonography, one-hundred & seventeen (59.69%) had ectopic gestation whereas thirteen (6.63%) had no ectopic gestation on Transvaginal ultrasonography. Moreover, among sixty-six patients which were shown negative through Transabdominal sonography, fifteen (7.65%) had ectopic gestation, as well as fifty-one (26.02%), had no ectopic gestation on Transvaginal ultrasonography. Therefore, the correctness of trans abdominal ultra-sonography accuracy, positive foretell value, sensitivity, negative foretell value and specificity in ectopic gestation or 85.71%, 90%, 88.64%, 77.27% and 79.69% respectively. Conclusion: The research determines that the transabdominal ultrasound emerges as trustable, precise, available with ease as well as the cost-effective procedure for the examination of ectopic gestation. Whereas Transvaginal ultrasound is not admissible and comfortably accessible to the common population. Keyword: Ectopic Pregnancy (EP), Tran’s Abdominal Sonography, Trans Vaginal sonography (TVS), Accuracy.

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