变换体位经阴道超声在未破裂型宫外孕与妊娠黄体囊肿中的鉴别诊断价值  

Value of transvaginal ultrasound with transformation of posture in differential diagnosis of unruptured ectopic pregnancy and pregnancy corpus luteum cyst

作　　者：徐臻[1] 张汝坚[2] XU Zhen;ZHANG Rujian(Department of Function,Foshan Maternal and Child Health Care Hospital,Foshan,Guangdong,528000;Department of Gynecology,Foshan Maternal and Child Health Care Hospital,Foshan,Guangdong,528000)

机构地区：[1]广东省佛山市妇幼保健院功能科,广东佛山528000 [2]广东省佛山市妇幼保健院妇科,广东佛山528000

出　　处：《实用临床医药杂志》2018年第3期69-71,共3页Journal of Clinical Medicine in Practice

基　　金：广东省中医药管理局基金项目(20142138)

摘　　要：目的分析变换体位经阴道超声在未破裂型宫外孕与妊娠黄体囊肿的鉴别诊断价值。方法选取56例未破裂型宫外孕患者作为观察组,选取50例妊娠黄体囊肿患者作为对照组。对2组患者行变换体位经阴道超声检查。结果 2组患者肿物的大小、环壁厚度的差异均无统计学意义(P>0.05)。观察组患者肿物周边血流分布不丰富的比例和血流阻力指数(RI)水平均显著高于对照组,出现环状或半环状血流的比例显著低于对照组(P<0.05)。变换体位后行经阴道超声检查时,观察组中仅有7例(12.5%)患者的肿物与同侧卵巢位置未改变,而对照组中全部患者的肿物与同侧卵巢位置均未改变,差异有统计学意义(P<0.05)。结论未破裂型宫外孕表现为较高的RI且血流分布不丰富。在变换体外后,多表现为肿物相对同侧卵巢的位移,这一特征可与妊娠黄体囊肿进行鉴别诊断。Objective To analyze the value of transvaginal ultrasound with transformation of posture in differential diagnosis of unruptured ectopic pregnancy and pregnancy corpus luteum cyst.Methods A total of 56 patients with unruptured ectopic pregnancy were selected as observation group,and 50 patients with pregnancy corpus luteum cyst were selected as the control group.The patients in both groups were applied with transvaginal ultrasound with transformation of posture.Results There were no significant differences in the size and thickness of the circumferential wall between the two groups(P>0.05).The proportion of poor peripheral blood flow distribution and blood flow resistance index(RI)in the observation group were significantly higher than those in the control group,and the proportion of patients with ring or half circle blood flow was significantly lower than that in the control group(P<0.05).Transvaginal ultrasound with transformation of posture showed that there were only 7 cases(12.5%)without change of location of the tumor and the ipsilateral ovary in the observation group,but the location of the tumor and the ipsilateral ovary had no change in the control group,and there was significant difference(P<0.05).Conclusion The unruptured ectopic pregnancy shows higher RI and poor blood flow distribution.After transformation of posture,unruptured ectopic pregnancy shows displacement of the mass relative to ipsilateral ovarian,and this feature can be used for differential diagnosis of pregnancy corpus luteum cyst.

关 键 词：变换体位 经阴道超声 未破裂型宫外孕 妊娠黄体囊肿 鉴别诊断 

分 类 号：R714.22[医药卫生—妇产科学]