经腹联合经阴道彩超对异位妊娠的诊断价值

doi:10.7517/issn.1674-0475.200326

摘要/Abstract

摘要： 选取疑似异位妊娠患者240例，所有患者均给予经腹、经阴道彩超检查，以病理检查为对照，分析经腹、经阴道彩超及二者联合对异位妊娠的诊断价值。结果显示，经腹联合经阴道彩超对子宫假孕囊、胚芽、胎心搏动、附件包块、盆腔积液等征象检出率明显高于经阴道彩超，经阴道彩超对子宫假孕囊、胚芽、胎心搏动、附件包块、盆腔积液等异位妊娠超声征象检出率明显高于经腹彩超（P<0.05）；在异位妊娠的诊断敏感度、特异度、准确度中，经腹彩超为77.38%、63.89%、73.33%，经阴道彩超为88.10%、80.56%、85.83%，经腹联合经阴道彩超为95.24%、94.44%、95.00%，经腹联合经阴道彩超明显高于经腹或经阴道彩超（P<0.05）。与经腹或经阴道彩超比较，二者联合可提高异位妊娠超声征象的显示率，有利于提高诊断价值。

关键词: 经腹彩超, 经阴道彩超, 联合, 异位妊娠, 诊断价值

Abstract: 240 patients with suspected ectopic pregnancy were selected as the subjects. They were given transabdominal and transvaginal color ultrasound examination. The pathological examination was taken as control, the diagnostic value of transabdominal and transvaginal color ultrasound and their combination for ectopic pregnancy was analyzed. The results showed that the detection rate of ultrasonic signs of ectopic pregnancy such as pseudopregnancy sac, embryo bud, fetal heart beat, accessory mass and pelvic effusion in the transabdominal combined with transvaginal colour ultrasound was significantly higher than that in the transvaginal ultrasound, the detection rate of ultrasonic signs of ectopic pregnancy such as pseudopregnancy sac, embryo bud, fetal heart beat, accessory mass and pelvic effusion in the transvaginal colour ultrasound was significantly higher than that in the transabdominal colour ultrasound (P<0.05). In the sensitivity, specificity and accuracy of the diagnosis of ectopic pregnancy, the transabdominal color ultrasound was 77.38%, 63.89%, 73.33%, the transvaginal color ultrasound was 88.10%, 80.56%, 85.83%, the transabdominal combined transvaginal color ultrasound was 95.24%, 833 94.44%, 95.00%, the transabdominal combined transvaginal color ultrasound was significantly higher than the transabdominal or transvaginal color ultrasound (P<0.05). This study confirms that, compared with transabdominal or transvaginal colour ultrasound, transabdominal combined with transvaginal colour ultrasound can improve the display rate of ultrasound signs of ectopic pregnancy, and it is helpful to improve the diagnostic value.

Key words: transabdominal colour ultrasound, transvaginal colour ultrasound, combine, ectopic pregnancy, diagnostic value

吴莉, 周建英. 经腹联合经阴道彩超对异位妊娠的诊断价值[J]. 影像科学与光化学, 2020, 38(5): 833-837.

WU Li, ZHOU Jianying. The Diagnostic Value of Transabdominal Combined with Transvaginal Colour Ultrasound in Ectopic Pregnancy[J]. Imaging Science and Photochemistry, 2020, 38(5): 833-837.

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