变换体位经阴道超声对未破裂异位妊娠及妊娠黄体囊肿的鉴别作用  

Differential Effect of Transvaginal Ultrasound with Changing Body Position on Unruptured Ectopic Pregnancy and Luteal Cyst of Pregnancy

作　　者：钟艳娥 贾保霞 陈金华 ZHONG Yan-e;JIA Bao-xia;CHEN Jin-hua(Department of Ultrasound,Shenzhen Ninth People's Hospital,Shenzhen,Guangdong Province,518000 China)

机构地区：[1]深圳市第九人民医院超声科,广东深圳518000

出　　处：《世界复合医学》2020年第9期123-125,共3页World Journal of Complex Medicine

摘　　要：目的分析变换体位经阴道超声应用于未破裂异位妊娠和妊娠黄体囊肿鉴别中的应用价值。方法抽取2016年12月—2018年5月科室接收的50例未破裂异位妊娠患者和50例妊娠黄体囊肿患者作为研究对象,分别将其作为A组和B组展开研究。观察两组超声检查结果、血流分布、血流频谱及位置变化情况。结果A、B两组对象的包块大小、环壁厚度差异无统计学意义(P>0.05);A组患者RI、环壁回声高回声率高于B组,环壁回声低回声率低于B组,差异有统计学意义(P<0.05);两组周围血流分布丰富率比较,差异有统计学意义(P<0.05);A组高阻力型血流频谱率、低阻力型血流频谱率低于B组,极低阻力型血流频谱率高于B组,差异有统计学意义(P<0.05)。A组变换体位后与同侧卵巢位置无明显变化7例(14.00%),B组未改变50例(100.00%),差异有统计学意义(χ^2=150.877,P<0.001)。结论变换体位经阴道超声可有效辨别未破裂异位妊娠和妊娠黄体囊肿,值得借鉴。Objective To analyze the application value of transvaginal ultrasound with changing body positions in the identification of unruptured ectopic pregnancy and luteal cyst of pregnancy.Methods From December 2016 to May 2018,50 patients with unruptured ectopic pregnancy and 50 patients with corpus luteum cyst of pregnancy received in the department were selected as the research objects,and they were taken as group A and group B respectively.Observe the results of ultrasound examination,blood flow distribution,blood flow spectrum and position changes in the two groups.Results there was no significant difference in mass size and ring wall thickness between groups A and B(P>0.05);the RI and ring wall echo rates of group A were higher than those in group B,and ring wall echo low echo rates lower than group B,statistically significant difference between groups(P<0.05);Comparison of the rich rate of peripheral blood flow distribution between the two groups,the difference was statistically significant(P<0.05);group A high resistance blood flow spectrum rate,low resistance blood flow frequency spectrum rate was lower than that of group B,and the frequency spectrum rate of extremely low resistance blood flow was higher than that of group B(P<0.05).There was no significant change in the position of the ipsilateral ovary in group A after changing the position in 7 cases(14.00%),and 50 cases in group B(100.00%),there was a statistically significant difference between the groups(χ^2=150.877,P<0.001).Conclusion Transvaginal ultrasound can effectively distinguish between unruptured ectopic pregnancy and corpus luteum cyst of pregnancy,which is worth learning.

关 键 词：未破裂异位妊娠 妊娠黄体囊肿 变换体位 经阴道超声 

分 类 号：R445[医药卫生—影像医学与核医学]