B超和CT用于宫内节育器异位诊治的效果分析  

A retrospective analysis of B-ultrasonography and computed tomography in diagnosis and therapy of ectopic intrauterine device

作　　者：钱翠凤[1] 田晓梅[1] 任芸芸[1] 姚晓英[1] QIAN Cuifeng;TIAN Xiaomei;REN Yunyun;YAO Xiaoying(Hospital of Obstetrics and Gynecology, Fudan University, Shanghai, 200011)

机构地区：[1]复旦大学附属妇产科医院,上海200011

出　　处：《中国计划生育学杂志》2020年第5期763-766,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨B超和CT在宫内节育器(IUD)异位诊断中的价值和对治疗方案的影响。方法:回顾性分析2014-2018年本院计划生育科收治的18例IUD异位病例资料,对比B超和CT诊断结果及手术情况。结果:15例同时行B超和CT检查,诊断准确性分别为9/15及12/15(P>0.05),两者的一致性较差(Kappa=-0.105,P>0.05)。4例部分异位和9例完全异位行B超监护或腹腔镜监护下经阴道取器,11例(11/13,84.6%)完整取出。结论:CT诊断IUD完全异位和子宫外异位更有优势,经阴道取器是治疗IUD未穿破子宫异位IUD的首选方法。Objective:To investigate the value of B-ultrasound and computed tomography(CT)for diagnosing ectopic intrauterine device(IUD),to study their influence on the therapy options,and to provide evidence for clinical treatment.Method:The data of 18 women with ectopic IUD from 2014 to 2018 were analyzed retrospectively.The diagnosing result by B-ultrasound and CT and the operative situation of women were compared.Results:15 women were examined both by B-ultrasound and CT,and the diagnostic accuracy were 9/15 and 12/15,respectively(P>0.05),which had poor consistence(Kappa=-0.105,P>0.05).4 women with partial ectopic IUD and 9 women with complete ectopic IUD were transvaginal removed IUD by B ultrasound monitoring or laparoscopy,and in which,11 women(11/13,84.6%)were completely removed.Conclusion:CT has more advantages in the diagnosis of complete or extrauterine ectopic IUD.Transvaginal removed IUD can be used as the preferred method for the treatment of ectopic IUD still in uterus.

关 键 词：宫内节育器异位 诊断 CT B超 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]