超声联合与MRI对输卵管间质部妊娠的诊断价值  

Diagnostic Value of Transvaginal and Transabdominal Ultrasound Combined with MRI for Interstitial Tubal Pregnancy

作　　者：董琼[1] 陈轶杰[1] 崔培培[1] DONG Qiong;CHEN Yi-jie;CUI Pei-pei(Department of Ultrasound,Zhengzhou First People's Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州市第一人民医院超声科,河南郑州450000

出　　处：《中国CT和MRI杂志》2021年第7期123-125,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨经阴道及经腹超声联合检测与磁共振成像(MRI)对输卵管间质部妊娠的诊断价值。方法回顾性分析我院2017年5月至2019年5月62例疑似输卵管间质部妊娠患者的临床资料,所有患者均接受经阴道及经腹超声、MRI检测,以临床手术病理结果为“金标准”,分析经阴道及经腹超声联合检测、MRI检测与临床手术病理结果的一致性及诊断效能。结果 62例疑似输卵管间质部妊娠患者经临床手术病理结果证实为输卵管间质部妊娠40例;经阴道及经腹超声联合检测结果显示,38例为输卵管间质部妊娠,与临床手术病理结果一致性分析显示,Kappa值=0.862,提示两者具有良好的一致性;MRI检测结果显示,37例为输卵管间质部妊娠,与临床手术病理结果一致性分析显示,Kappa值=0.761,提示两者具有良好的一致性;经阴道及经腹超声联合检测对输卵管间质部妊娠的诊准确度、特异度、敏感度、阴性预测值、阳性预测值分别为93.55%、95.45%、92.50%、87.50%、97.37%;MRI检测对输卵管间质部妊娠的诊准确度、特异度、敏感度、敏感度、阴性预测值、阳性预测值分别为88.71%、90.91%、87.50%、80.00%、94.59%。结论经阴道及经腹超声联合检测与MRI对输卵管间质部妊娠的诊断结果与临床手术病理结果差异不明显,且两种检测方法均具有较高的一致性,但经阴道及经腹超声联合检测诊断优势明显,临床可根据实际情况合理选择检测方法。Objective To explore the diagnostic value of transvaginal and transabdominal ultrasound combined with magnetic resonance imaging(MRI)for interstitial tubal pregnancy.Methods A retrospective analysis was performed on the clinical data of 62 patients with suspected interstitial tubal pregnancy in the hospital between May 2017 and May 2019.All underwent transvaginal and transabdominal ultrasound,and MRI examinations.Taking the pathological results of clinical surgery as the golden standard,consistency of transvaginal combined with transabdominal ultrasound,and MRI with the pathological results,and their diagnostic efficiency were analyzed.Results Of the 62 patients with suspected interstitial tubal pregnancy,is was confirmed by pathological results of clinical surgery that there were 40 cases confirmed with interstitial tubal pregnancy.There were 38 cases confirmed by combined transvaginal and transabdominal ultrasound,its consistency with the pathological results was good(Kappa value=0.862).MRI showed there were 37 cases confirmed with interstitial tubal pregnancy,its consistency with the pathological results was good(Kappa value=0.761).The accuracy,specificity,sensitivity,negative predictive value,and positive predictive value of combined transvaginal and transabdominal ultrasound in diagnosing interstitial tubal pregnancy were 93.55%,95.45%,92.50%,87.50%,and 97.37%,while which of MRI were 88.71%,90.91%,87.50%,80.00%,and 94.59%,respectively.Conclusion There is no significant difference between combined transvaginal and transabdominal ultrasound,MRI and clinical pathology in the diagnosis of interstitial tubal pregnancy.The two detection methods have high consistency.However,combined transvaginal and transabdominal ultrasound is more advantageous.Clinically,detection methods can be reasonably selected according to the actual situations.

关 键 词：输卵管间质部妊娠 经阴道超声 经腹超声 磁共振成像 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.2[医药卫生—诊断学]