经阴道超声对未破裂型宫外孕的诊断价值  

The Diagnostic Value of Transvaginal Ultrasound for Unruptured Ectopic Pregnancy

作　　者：朱冰 ZHU Bing(Department of Ultrasound,Tieling County Central Hospital,Tieling 112000,Liaoning,China)

机构地区：[1]铁岭县中心医院超声科,辽宁铁岭112000

出　　处：《医学信息》2020年第18期173-174,共2页Journal of Medical Information

摘　　要：目的研究经阴道超声对未破裂型宫外孕的诊断价值。方法回顾分析2018年9月~2019年9月期间在我院诊治的76例未破裂型宫外孕患者临床资料,依据超声检查方式分为对照组(36例)和观察组(40例),对照组采用常规腹部超声检查,观察组采用经阴道超声,比较两组患者超声检查准确率、误诊和漏诊率、超声征象检出率以及灵敏性、特异性。结果观察组检查准确率为95.00%,高于对照组的80.55%,误诊和漏诊率为5.00%,低于对照组的19.45%(P<0.05);观察组超声征象子宫内膜增厚>12 mm、子宫附件异常、附件区包块、附件区包块内可见胚芽及心管搏动、子宫直肠凹处积液检出率均高于对照组,(P<0.05);观察组诊断灵敏性(97.50%)、特异性(92.50%)分别高于对照组的86.11%、83.33%(P<0.05)。结论经阴道超声检查未破裂型宫外孕诊断率高,可降低误诊率,提高诊断的灵敏性和特异性。Objective To study the diagnostic value of transvaginal ultrasound for unruptured ectopic pregnancy.Methods The clinical data of 76 patients with unruptured ectopic pregnancy diagnosed and treated in our hospital from September 2018 to September 2019 were retrospectively analyzed.According to the ultrasound examination method,they were divided into control group(36 cases)and observation group(40 cases),and control group routine abdominal ultrasound examination was used,and the observation group used transvaginal ultrasound.The ultrasound examination accuracy,misdiagnosis and missed diagnosis rates,detection rate of ultrasound signs,sensitivity and specificity were compared between the two groups.Results The inspection accuracy rate of the observation group was 95.00%,which was higher than 80.55%of the control group,and the misdiagnosis and missed diagnosis rate was 5.00%,which was lower than 19.45%of the control group(P<0.05);Endometrial thickening>12 mm,abnormal uterine adnexa,masses in the adnexal area,visible germ and heart tube beats in the masses in the adnexal area,and the detection rate of uterine and rectal recesses were higher than those of the control group(P<0.05);the diagnostic sensitivity(97.50%)and specificity(92.50%)of the observation group were higher than those of the control group 86.11%and 83.33%,respectively(P<0.05).Conclusion Transvaginal ultrasonography had a high diagnostic rate for unruptured ectopic pregnancy,which could reduce the misdiagnosis rate and improve the sensitivity and specificity of diagnosis.

关 键 词：经阴道超声 未破裂型 宫外孕 

分 类 号：R445.1[医药卫生—影像医学与核医学]