输卵管超声血流分级在胎囊型输卵管妊娠保守治疗中的指导价值  

Guiding value of fallopian tube ultrasound blood flow grading in the conservative treatment of fetal sac tubal pregnancy

作　　者：杨艳 夏群[1] 胡金花[1] 解红娟 程杨眉 YANG Yan;XIA Qun;HU Jinhua;XIE Hongjuan;CHENG Yangmei(Department of Ultrasound,Anqing First People's Hospital,Anqing 246004,Anhui,China)

机构地区：[1]安庆市第一人民医院超声科,安徽安庆246004

出　　处：《中国性科学》2020年第7期63-66,共4页Chinese Journal of Human Sexuality

摘　　要：目的观察输卵管超声血流分级在胎囊型输卵管妊娠保守治疗中的指导价值。方法选取2015年5月至2019年5月安庆市第一人民医院收集的60例行胎囊型输卵管妊娠保守治疗的患者作为研究对象。对这60例患者给予甲氨蝶呤肌肉注射50 mg/m^2的保守治疗,观察不同血流分级胎囊型输卵管妊娠病例的保守性治疗成功率差异。采用Spearman相关性法分析血流分级与保守治疗成功率之间的相关性,采用ROC曲线法分析血流分级在保守性治疗疗效预测中的灵敏度、特异度和准确率。结果60例胎囊型输卵管妊娠病例保守性治疗成功45例,失败15例,其中血流0级成功率100%(3/3),血流Ⅰ级成功率94.44%(17/18),血流Ⅱ级成功率77.27%(17/22),血流Ⅲ级成功率47.06%(8/17),不同血流分级的保守性治疗成功率比较(χ^2=11.769,P=0.008<0.05)。Spearman相关性分析显示:输卵管超声血流分级与保守性治疗成功率呈负相关(r=-0.848,P<0.05)。ROC曲线分析显示:治疗前输卵管超声血流分级在保守性治疗疗效预测中的灵敏度、特异度、准确率分别为91.53%,89.64%,91.56%。结论经腹部输卵管超声血流分级与胎囊型输卵管妊娠保守治疗成功率呈负相关性,对在胎囊型输卵管妊娠保守治疗中有较大的指导价值。Objective To observe the guiding value of fallopian tube ultrasound blood flow grading in the conservative treatment of fetal sac tubal pregnancy.Methods 60 patients with fetal sac tubal pregnancy in our hospital from May 2015 to May 2019 were selected and treated with the conservative treatment of methotrexate intramuscular injection of 50 mg/m^2.Difference in the success rates of conservative treatment in patients with different blood flow grading were compared.Spearman correlation method was used to analyze the correlation between blood flow grading and the success rate of conservative treatment,and ROC curve method was used to analyze the sensitivity,specificity and accuracy of blood flow grading in predicting the efficacy of conservative treatment.Results Among the 60 cases,there were 45 cases successfully treated and 15 cases failed.The success rates of grade 0,grade I,grade II and gradeⅢof blood flow were 100%(3/3),94.44%(17/18),77.27%(17/22)and 47.06%(8/17)respectively,with statistically significant differences(χ^2=11.769,P=0.008<0.05).Spearman correlation analysis showed that there was a negative correlation between tubal ultrasound blood flow grading and the success rate of conservative treatment(r=-0.848,P<0.05).ROC curve analysis showed that the sensitivity,specificity and accuracy of ultrasound blood flow grading in predicting the efficacy of conservative treatment before treatment were 91.53%,89.64%and 91.56%,respectively.Conclusions Transabdominal ultrasound blood flow grading is negatively correlated with the success rate of conservative treatment of fetal sac tubal pregnancy,which is of great guiding value.

关 键 词：输卵管超声 胎囊型 输卵管妊娠 血流分级 保守治疗 

分 类 号：R714[医药卫生—妇产科学]