超声造影与彩色多普勒超声诊断异位妊娠的对比研究  

Comparative study of contrast-enhanced ultrasound and color Doppler ultrasound in diagnosing ectopic pregnancy

作　　者：李华斌[1] 卢蕊[1] 李玲[1] 吴丽英[2] 郭冀梅[1] 邹黎[1] 陈俐利[1] 

机构地区：[1]成都军区机关医院特检科,成都610011 [2]成都军区机关医院妇科,成都610011

出　　处：《西南国防医药》2014年第5期518-520,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的对比研究超声造影与彩色多普勒超声诊断异位妊娠的临床效果。方法回顾性分析2011年8月～2013年2月我院收治的100例异位妊娠患者的临床资料。结果 100例中,手术病理证实为异位妊娠的88例,经腹腔镜及刮宫病理证实宫内孕12例。超声造影诊断异位妊娠的敏感性为98.2%,特异性为80.0%,准确性为96.0%;彩色多普勒超声诊断异位妊娠的敏感性为86.2%,特异性为53.3%,准确性为81.4%,超声造影诊断异位妊娠的敏感性、特异性、准确性均明显比彩色多普勒超声高（P〈0.05）。结论超声造影比彩色多普勒超声诊断异位妊娠具有较好的临床效果,值得推广。Objective To compare the clinical effects of contrast-enhanced ultrasound and color Doppler ultrasound on the diagnosis of ectopic pregnancy. Methods A retrospective analysis was made to the clinical data of 100 cases with ectopic pregnancy hospitalized from August,2011 to February,2013. Results Out of the 100 cases,88 cases were confirmed by postoperative pathological study to have ectopic pregnancy and 12 cases were confirmed by pathological study after endoscopic surgery and dilatation and curettage to have intrauterine pregnancy. In diagnosing ectopic pregnancy,contrast-enhanced ultrasound had a sensitivity of 98. 2%,a specificity of 80. 0% and an accuracy of 96. 0%,while color Doppler ultrasound had a sensitivity of 86. 2%,a specificity of 53. 3% and an accuracy of 81. 4%; the sensitivity,specificity and accuracy of contrast-enhanced ultrasound were much higher than those of color Doppler ultrasound（ P〈0. 05）. Conclusions Contrast-enhanced ultrasound is of better clinical effects in diagnosis of ectopic pregnancy than color Doppler ultrasound and is worthy of wide application.

关 键 词：异位妊娠 诊断 超声造影 彩色多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]