不同部位超声对异位妊娠检出率对比分析  

Analysis by the comparison of ultrasound at different positions to the detection rate of heterotopic pregnancy

作　　者：南月 NAN Yue(Color ultrasound room of Tanghe County Hospital of Traditional Chinese Medicine,Tanghe Henan 473400,China)

机构地区：[1]唐河县中医院彩超室,河南唐河473400

出　　处：《临床研究》2021年第12期115-118,共4页Clinical Research

摘　　要：目的分析异位妊娠应用不同部位超声检查的结果,以便日后临床采取适宜的超声检查方案,提升异位妊娠检出率。方法抽取妇科检查中70例疑似早期异位妊娠患者,均源自于2020年1月至2021年5月唐河县中医院收治,所有患者均进行经腹超声、经阴超声以及经腹联合经阴超声检查,以病理检查作为"金标准",分析经腹超声、经阴超声以及经腹联合经阴三种超声检查方法对异位妊娠的检出率情况,观察三种超声检查方法对异位妊娠的临床诊断价值。结果经病理检查显示,70例患者中61例为异位妊娠,其中输卵管壶腹部妊娠42例,卵巢妊娠、输卵管峡部妊娠各7例、输卵管伞部妊娠5例。经腹超声检出52例,检出率为74.29%(52/70)。其中真阳性50例,真阴性7例,假阳性2例,假阴性11例。经阴超声检出57例,检出率为81.43%(57/70)。其中真阳性54例,真阴性6例,假阳性3例,假阴性7例。经腹+经阴超声检出60例,检出率为85.71%(60/70),其中真阳性59例,真阴性8例,假阳性1例,假阴性2例。经腹+经阴超声检查相较于单一经腹超声、经阴超声,准确性、敏感性、特异性均明显提升,差异有统计学意义(P<0.05)。三种超声对异位妊娠不同妊娠位置的检出准确率相比,差异有统计学意义(P<0.05)。结论对于异位妊娠患者给予经腹+经阴超声检查,可有效提升异位妊娠不同妊娠位置的检出率,准确性较高。Objective Analyze the result of ultrasound detection at different positions for heterotopic pregnancy to apply the appropriate ultrasound detection method in future clinical application and improve the detection rate of heterotopic pregnancy.Methods Sample the patients with suspected early heterotopic pregnancy for 70 cases in the gynecological examination which are all originated from the Chinese medicine hospital in Tanghe County from January 2020 to May 2021 for their admission.All the patients had the examinations of transabdominal ultrasound,transvaginal ultrasound,joint transabdominal and transvaginal ultrasound.With the pathological examination as the gold standard,analyze the detection rate of the three ultrasound examinations which are transabdominal,transvaginal,joint transabdominal and transvaginal ultrasound for heterotopic pregnancy,observe for the clinical diagnostic value of the three ultrasound examination methods for heterotopic pregnancy.Results The pathological examination indicates that 61 cases among the 70 cases of patients have the heterotopic pregnancy of which 42 cases are pregnancy in the ampullary segment of oviduct,7 cases are pregnancy in ovary and another 7 cases are pregnancy in isthmus of fallopian tube,5 cases are pregnancy in firmbriaend of fallopian tube.52 cases are detected by the transabdominal ultrasound with the detection rate of 74.29%(52/70)of which 54 cases are true positive,6 cases are true negative,3 cases are false positive,and 7 cases are false negative.60 cases are detected by the transabdominal+transvaginal ultrasound examination with a detection rate of 85.71%(60/70)of which 59 cases are true positive,8 cases are true negative,1 case is false positive and 2 cases are false negative.Compared with the singular transabdominal ultrasound or transvaginal ultrasound,the accuracy,sensitivity,specificity have been significantly improved in the transabdominal+transvaginal ultrasound examination for which there is statistical significance for the difference(P<0.05).By the c

关 键 词：异位妊娠 经腹超声 经阴超声 诊断准确性 

分 类 号：R445.1[医药卫生—影像医学与核医学]