三维超声结合血清β-绒毛膜促性腺激素在残角子宫妊娠孕早期诊断中的应用  

Application of 3D ultrasound combined with serum β-hCG in early diagnosis of pregnancy in rudimentary horn

作　　者：韩春苗 李爱华 吕立威 HAN Chun-miao;LI Ai-hua;LV Li-wei(Ultrasound Department,Hainan Women and Children Medical Center,Haikou 571101,China;不详)

机构地区：[1]海南省妇女儿童医学中心超声科,海南海口571101 [2]成都市妇女儿童医院超声科,四川成都611530

出　　处：《中国医学装备》2021年第2期54-57,共4页China Medical Equipment

基　　金：四川省卫生和计划生育委员会项目(16PJ073)“三维超声结合血清β-hCG在残角子宫妊娠孕早期诊断中的应用”。

摘　　要：目的:分析三维超声结合血清β-绒毛膜促性腺激素(β-hCG)在残角子宫妊娠孕早期诊断中的应用。方法:选择经超声或手术病理诊断的10例残角子宫妊娠患者纳入残角子宫妊娠组,选取同期孕检正常的35名宫内妊娠者纳入正常子宫妊娠组,对两组分别采用血清β-hCG检测、三维超声检查和两者联合检测的3种方法进行残角子宫妊娠检测,比较两组血清β-hCG水平、子宫内膜厚度差异和3种方法检测残角子宫妊娠的准确率。结果:残角子宫妊娠组血清β-hCG平均水平低于正常子宫妊娠组,差异有统计学意义(t=17.472,P<0.05);残角子宫妊娠组子宫内膜厚度平均水平低于正常子宫妊娠组,差异具有统计学意义(t=7.555,P<0.05);联合检测残角子宫妊娠的准确率高于血清β-hCG检测和三维超声单独检查,差异具有统计学意义(x^(2)=7.561,x^(2)=10.956;P<0.05)。结论:三维超声检查方法操作简单、便捷,与血清β-hCG联合检查,能够提高诊断的准确率,减少误诊和漏诊的发生,可预防子宫破裂、不必要的引产及后期胎儿死亡等并发症。Objective:To analyze the application of three-dimensional(3D)ultrasound combined with serum chorionic gonadotropin(β-hCG)in the early diagnosis of pregnancy in rudimentary horn.Methods:10 patients with pregnancy in rudimentary horn who were confirmed by ultrasound or surgical pathology were divided into the pregnancy in rudimentary horn group,and 35 pregnant women with normal intrauterine pregnancy who underwent pregnancy examination during the same period were divided into the normal intrauterine pregnancy group.The serum β-hCG examination,3D ultrasound examination and the combination of the two methods were adopted to the two groups for implementing the examination of pregnancy in rudimentary horn.The serum differences of the β-hCG and the endometrial thickness between two groups were compared,and the accuracies of 3 methods in testing pregnancy in rudimentary horn also were further compared.Results:The average level ofβ-hCG of pregnancy in rudimentary horn group was significantly lower than that of the normal intrauterine pregnancy group(t=17.472,P<0.05).And the average level of the endometrial thickness of pregnancy in rudimentary horn group was significantly lower than that of the normal intrauterine pregnancy group(t=7.555,P<0.05).The accuracy of the combined examination for pregnancy in rudimentary horn was significantly higher than that of single examination such as serum β-hCG or 3D ultrasound(x^(2)=7.561,x^(2)=10.956,P<0.05).Conclusion:The 3D ultrasound examination method is simple and convenient to operation,and the combined examination with serum β-hCG can improve the accuracy of diagnosis,and reduce the occurrences of misdiagnosis and missed diagnosis,and can prevent uterine rupture,unnecessary labor induction,and the complication such fetal death at late period.

关 键 词：三维超声 血清β-绒毛膜促性腺激素(β-hCG) 残角子宫妊娠 

分 类 号：R445.1[医药卫生—影像医学与核医学]