经阴道高频超声和常规腹部超声观察早孕异常征象对早孕妊娠终止的诊断价值比较  

Comparison of the Diagnostic Value of Early Pregnancy Termination based on Abnormal Signs Observed via Transvaginal High-Frequency Ultrasound and Conventional Abdominal Ultrasound

作　　者：郑蔚朗 王兴亮 王丹丹 ZHENG Weilang;WANG Xingliang;WANG Dandan(Department of Ultrasound,Yong'an Municipal Hospital,Yong'an 366000,China)

机构地区：[1]福建省永安市立医院超声科,福建永安366000

出　　处：《中国医药指南》2023年第23期106-108,共3页Guide of China Medicine

摘　　要：目的 分析经阴道高频超声观察早孕异常征象的临床价值。方法 该研究对象为2018年2月至2023年2月到医院检查且经临床诊断确诊的120例早孕异常且妊娠终止的孕妇,均接受常规经腹及经阴道高频超声检查。以妇科临床诊断妊娠失败为金标准,提示早孕异常征象与妊娠失败的必然关系。结果 在早孕异常征象的诊断准确率方面,经阴道高频超声检查(95.8%)显著高于常规经腹超声检查(83.3%,P <0.05);在漏诊率方面,经阴道高频超声检查(4.2%)低于常规超声检查(16.7%,P <0.05)。在早孕异常征象的检出率方面,经阴道高频超声检查显著高于常规超声检查。结论 经阴道高频超声检查用于早孕的诊断效果显著,可及时发现各种致妊娠失败的早孕异常征象,对判断预后及及时行有效的干预方法,改善妊娠结局,提高生育质量有重要的临床意义。Objective To analyze the clinical value of transvaginal high-frequency ultrasound in observing abnormal signs during early pregnancy.Methods The study included 120 pregnant women who were diagnosed with early pregnancy abnormalities and pregnancy termination from February 2018 to February 2023,and who underwent routine transabdominal and transvaginal high-frequency ultrasound examinations.Clinical diagnosis of pregnancy failure was used as the gold standard to indicate the inevitable relationship between abnormal signs during early pregnancy and pregnancy failure.Results In terms of the accuracy of diagnosis of abnormal signs during early pregnancy,transvaginal high-frequency ultrasound examination(95.8%) was significantly higher than routine transabdominal ultrasound examination(83.3%,P<0.05).In terms of missed diagnosis rate,transvaginal high-frequency ultrasound examination(4.2%) was lower than routine ultrasound examination(16.7%,P<0.05).Transvaginal high-frequency ultrasound examination had significantly higher detection rates for various abnormal signs during early pregnancy than routine ultrasound examination.Conclusion Transvaginal high-frequency ultrasound examination has significant diagnostic effectiveness for early pregnancy,can timely detect various abnormal signs that lead to pregnancy failure,and is of great clinical significance for judging prognosis,timely intervention,improving pregnancy outcomes,and improving the quality of fertility.

关 键 词：早孕异常征象 经阴道高频超声检查 超声表现 妊娠失败 妊娠结局 

分 类 号：R714.1[医药卫生—妇产科学]