[1]陈 爽.不同彩色多普勒超声检查方式在异位妊娠早期诊断中的应用研究[J].陕西医学杂志,2020,49(2):154-156，165.
　CHEN Shuang..Application of different color Doppler ultrasonography in early diagnosis of ectopic pregnancy[J].,2020,49(2):154-156，165.
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不同彩色多普勒超声检查方式在异位妊娠早期诊断中的应用研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年2期
页码:
154-156，165
栏目:
临床研究
出版日期:
2020-02-05

文章信息/Info

Title:
Application of different color Doppler ultrasonography in early diagnosis of ectopic pregnancy
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007377.2020.02.007
作者:
陈 爽
解放军总医院第三医学中心超声科(北京100039)
Author(s):
CHEN Shuang.
Ultrasonography Department,the Third Medical Center of Chinese PLA General Hospital(Beijing 100039)
关键词:
经阴道超声;  经腹超声;  异位妊娠;  诊断;  对比研究
Keywords:
Transvaginal ultrasound;  Transabdominal ultrasound;  Ectopic pregnancy;  Diagnosis;  Comparative study
分类号:
R714.22
文献标志码:
A
摘要:
目的:研究经阴道超声(TVS)和经腹超声(TAS)在异位妊娠早期诊断中的应用价值。方法:选取异位妊娠患者92例,均进行TVS和TAS检查。对TVS和TAS下早期异位妊娠的声像图特征进行观察。对TVS和TAS的检查结果进行比较,检查项目包括附件是否存在包块、胎心、胎芽、盆腔积液、假孕囊、卵黄囊。以手术病理资料为金标准,比较不同异位妊娠类型(破裂型、未破裂型和流产型)TVS和TAS的诊断准确率。结果:TVS在附件存在包块、胎心、胎芽、假孕囊和卵黄囊检出率显著高于TAS(P<0.05)。TVS和TAS在盆腔积液的检出率比较,差异无统计学意义(P>0.05)。以手术病理结果为诊断金标准,TVS对异位妊娠的诊断准确率显著高于TAS(P<0.05)。TVS和TAS对破裂型、未破裂型诊断准确率相比,差异无统计学意义(P>0.05),流产型诊断准确率TVS显著高于TAS(P<0.05)。结论:TVS对于早期异位妊娠的诊断准确率高,能够有助于提高患者的保守治疗率,从而减轻患者痛苦,改善预后,然而TVS也存在诊断不足和禁忌证的情况,临床中应根据患者自身情况、临床症状等对TVS和TAS的使用进行合理选择,以达到最佳诊断效果。
Abstract:
Objective:To study the application of transvaginal ultrasound(TVS)and transabdominal ultrasound(TAS)in early diagnosis of ectopic pregnancy.Methods:92 patients with ectopic pregnancy were selected for TVS and TAS.The sonographic features of early ectopic pregnancy under TVS and TAS were observed.The results of the TVS and TAS examinations were compared.The examination items included the presence of masses,fetal heart,fetal buds,pelvic fluid,pseudopregnancy sac,and yolk sac.Using surgical pathology data as the gold standard,the diagnostic accuracy of TVS and TAS for different types of ectopic pregnancy(ruptured,unruptured and aborted)was compared.Results:The detection rate of TVS in the attachment,fetal heart,fetal bud,pseudopregnancy sac and yolk sac was significantly higher than that of TAS(P<0.05).There was no significant difference in the detection rate of pelvic effusion between TVS and TAS(P>0.05).With the surgical pathological data as the diagnostic gold standard,the diagnostic accuracy of TVS was significantly higher than that of TAS(P<0.05).There was no significant difference between the TVS and TAS in rupture type and unruptured type fracture accuracy(P>0.05).The abortion diagnosis accuracy of TVS was significantly higher than that of TAS(P<0.05).Conclusion:TVS has a high diagnostic accuracy for early ectopic pregnancy,which can help to improve the patient's conservative treatment rate,thereby reducing patient suffering and improving prognosis.However,TVS also has the problem of insufficient diagnosis and contraindications.In clinical practice,the use of TVS and TAS should be rationally selected according to the patient's own situation and clinical symptoms to achieve the best diagnostic effect.

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更新日期/Last Update: 2020-03-25