الملخص

Background: Ectopic pregnancy is an important life threatening condition  and  affecting women fertility in our society of Mosul city ,so an  early and accurate diagnosis is very necessary to reduce its complication , which can be done by further examining the patient first by less invasive transabdominal ultrasound, and the second is the more invasive but more diagnostic endo vaginal ultrasonography.1 .Objective: To compare transabdominal and transvaginal ultrasound for the early diagnosis of ectopic pregnancy cases and offer guidance for choosing diagnostic methods in clinical practice.Sample & Methods: Eighty patients admitted to the hospital between February 2023 and August 2023, who received clinical diagnoses and were subsequently confirmed to have ectopic pregnancies, were chosen as the subjects of this research. The ages of the women ranged from 20 to 40 years old, these women underwent sonographic scans at a gestational age of 44.8 days, (6 weeks and 3 days pregnancy). The patients underwent examinations using both transabdominal and transvaginal ultrasound. Ultrasound performance was observed and compared in terms of accuracy, specificity and sensitivity.Additionally, a comparison was conducted with regards to the determination of the following factors: the presence of adnexal masses, peritoneal liquid, pseudocysts, and any indeterminate echoes.Results: There was a significant difference between the two methods, as transvaginal ultrasound detected extrauterine gestational sacs in 73% of cases, while transabdominal ultrasound identified them in 63% of cases, the sensitivity of transabdominal ultrasound was 73.1%, while the sensitivity of transvaginal ultrasound was higher at 92.3%. The accuracy of transabdominal ultrasound was 73.3%, while transvaginal ultrasound was 90%. Regarding both techniques, the specificity was identical at 75%, transvaginal ultrasound provided a positive correct diagnosis rate equal to 91.25% , but transabdominal ultrasound, was confirmed diagnosis rate of 78.75% using a combination of transvaginal and transabdominal ultrasound offered diagnosis rate equal to 96.25 %.