经阴道三维超声对宫角妊娠产妇妊娠结局的预测作用  

Predictive effect of transvaginal three-dimensional ultrasonography on the pregnancy outcome of pregnant women with cornual pregnancy

作　　者：刘月媚[1] 罗海波[1] 李仲均[2] 张秀珍[1] 曾带娣 陈静[1] LIU Yuemei;LUO Haibo;LI Zhongjun;ZHANG Xiuzhen;ZENG Daidi;CHEN Jing(The Tenth Affiliated Hospital,Southern Medical University/Department of Ultrasound,People's Hospital of Dongguan,Dongguan 523000,China;The Tenth Affiliated Hospital,Southern Medical University/Department of Gynaecology and Obstetrics,People's Hospital of Dongguan,Dongguan 523000,China)

机构地区：[1]南方医科大学第十附属医院/东莞市人民医院超声科,广东东莞523000 [2]南方医科大学第十附属医院/东莞市人民医院妇产科,广东东莞523000

出　　处：《长春中医药大学学报》2023年第7期807-810,共4页Journal of Changchun University of Chinese Medicine

基　　金：东莞市社会发展科技面上项目(20211800902752);广东省医学科学技术研究基金项目(C2022125)。

摘　　要：目的探讨经阴道三维超声对宫角妊娠产妇妊娠结局的预测作用。方法选取东莞市人民医院2021年10月-2022年6月收治的宫角妊娠产妇80例,均实施经阴道三维超声检测,记录宫角妊娠产妇的妊娠结局,分析正常妊娠组与不良妊娠结局组超声参数,并予以多因素Logistic回归分析法分析宫角妊娠产妇不良妊娠结局的影响因素,分析经阴道三维超声的诊断效能。结果对80例宫角妊娠产妇持续随访至12+周,其中48例产妇为正常妊娠,32例产妇有不良妊娠结局。正常妊娠组左右宫角间距、孕囊中点到宫腔中线的垂直距离低于不良妊娠组、孕囊容积、宫腔容积高于不良妊娠组,差异均有统计学意义(P<0.05);多因素Logistic提示,左右宫角间距、孕囊容积、宫腔容积是宫角妊娠产妇不良妊娠结局的危险因素(OR=4.212、3.367、4.297,P<0.05)。宫角妊娠产妇左右宫角间距、宫腔容积、孕囊容积的AUC分别为0.620、0.848、0.781;最佳截点值分别为56.15 mm、44.03 cm^(3)、6.03 cm^(3);特异度分别为46.70%、52.24%、43.12%;灵敏度分别为66.63%、75.39%、83.72%。结论经阴道三维超声对宫角妊娠产妇妊娠结局具有良好的预测作用,可作为宫角妊娠拟诊的首选诊断方式。Objective To investigate the predictive effect of transvaginal three-dimensional ultrasonography on the pregnancy outcome of pregnant women with cornual pregnancy.Methods A total of 80 pregnant women with cornual pregnancy who were admitted to People's Hospital of Dongguan from October 2021 to June 2022 were selected and divided into the normal pregnancy group and the adverse pregnancy outcomes group.Transvaginal three-dimensional ultrasonography was performed in all patients.The pregnancy outcomes of pregnant women with cornual pregnancy were recorded.The ultrasound parameters of the normal pregnancy group and the adverse pregnancy outcomes group were analyzed.And multivariate Logistic regression analysis was used to analyze the influencing factors of adverse pregnancy outcomes of pregnant women with cornual pregnancy.The diagnostic efficacy of transvaginal three-dimensional ultrasonography was analyzed.Results 80 pregnant women with cornual pregnancy were followed up for 12+weeks,of which 48 cases were normal pregnancies and 32 cases had adverse pregnancy outcomes.The distance between the left and right uterine horns,the vertical distance from the midpoint of the gestational sac to the midline of the uterine cavity in the normal pregnancy group were lower than those in the adverse pregnancy outcomes group,and the gestational sac volume and uterine cavity volume in the normal pregnancy group were greater than those in the adverse pregnancy outcomes group,and there were statistically significant differences(P<0.05).Multivariate Logistic analysis showed that the distance between the left and right uterine horns,the volume of the gestational sac,and the volume of the uterine cavity were the risk factors of adverse pregnancy outcomes in women with cornual pregnancy(OR=4.212,3.367,4.297,P<0.05).The area under curve(AUC)values of the distance between the left and right uterine horns,uterine cavity volume and gestational sac volume in pregnant women with cornual pregnancy were 0.620,0.848,and 0.781,respectively;the opt

关 键 词：影像学 经阴道三维超声 妊娠结局 宫角妊娠 

分 类 号：R719.8[医药卫生—妇产科学]