早期宫角妊娠超声诊断与鉴别诊断的临床价值及检出率分析  

Clinical value and detection rate analysis of ultrasound diagnosis and differential diagnosis of early cornual pregnancy

作　　者：孙晓武 孙雪连 王姝怡 SUN Xiaowu;SUN Xuelian;WANG Shuyi(Department of Ultrasound,Dandong Central Hospital,Dandong,Liaoning,118002,China)

机构地区：[1]丹东市中心医院超声科,辽宁丹东118002

出　　处：《当代医学》2023年第7期144-146,共3页Contemporary Medicine

摘　　要：目的分析早期宫角妊娠超声诊断与鉴别诊断的临床价值及检出率。方法选取2019年1月至2020年12月本院收治的50例疑似早期宫角妊娠患者的病例样本作为研究对象,根据实际情况进行彩色多普勒超声检查诊断,全面分析其临床价值及检出率。比较彩色多普勒超声检查与手术的检出率及宫角妊娠、输卵管间质部妊娠的超声表现、血流信号。结果手术结果显示,早期宫角妊娠33例,输卵管间质部妊娠17例。彩色多普勒超声检查诊断早期宫角妊娠的检出率为62.00%,与手术结果的66.00%比较差异无统计学意义;早期宫角妊娠和输卵管间质部妊娠多项超声表现(孕囊周边肌层厚度、孕囊和宫腔相通、宫角宫腔对称、周边肌层完整、有间质线征)比较差异有统计学意义(P<0.05),边界清晰超声表现差异无统计学意义;早期宫角妊娠和输卵管间质部妊娠收缩期峰值流速(PSV)比较差异无统计学意义,早期宫角妊娠舒张末期流速(EDV)低于输卵管间质部妊娠,阻力指数(RI)高于输卵管间质部妊娠,差异有统计学意义(P<0.05)。结论多普勒超声检查方式在早期宫角妊娠诊断与鉴别诊断中检出率较高,由于宫角妊娠和输卵管间质部妊娠超声表现、血流信号存在明显差异,采用多普勒超声检查可对宫角妊娠和输卵管间质部妊娠的诊断和鉴别诊断提供可靠依据,可作为推荐检查诊断鉴别方式在疑似早期宫角妊娠患者中推广应用,便于疾病的后续治疗。Objective To analyze the clinical value and detection rate of ultrasound diagnosis and differential diagnosis of early cornual pregnancy.Methods 50 cases of suspected early cornual pregnancy admitted to our hospital from January 2019 to December 2020 were selected as the research subject,and color Doppler ultrasound was performed according to the actual situation,and its clinical value and detection rate were comprehensively analyzed.The detection rate of color Doppler ultrasonography was compared with that of operation,and the ultrasonographic manifestations and blood flow signals of uterine horn pregnancy and tubal interstitial pregnancy were compared.Results The results of the operation showed:there were 33 cases of early horn pregnancy and 17 cases of tubal interstitial pregnancy.The detection rate of early horn pregnancy diagnosed by color Doppler ultrasonography was 62.00%,which was not statistically significant compared with 66.00%of operation results.There were significant differences in many ultrasonic manifestations(thickness of myometrium around pregnancy sac,communication between pregnancy sac and uterine cavity,symmetry of cornual uterine cavity,integrity of myometrium around pregnancy and interstitial line sign)between early cornual pregnancy and interstitial tubal pregnancy(P<0.05),but there was no significant difference in ultrasonic manifestations with clear boundary.There was no significant difference in blood flow signals(peak systolic velocity[PSV])between early cornual pregnancy and tubal interstitial pregnancy,the end-diastolic volume(EDV)of early cornual pregnancy was lower than that of interstitial tubal pregnancy,and the resistance index(RI)was higher than that of interstitial tubal pregnancy,the difference was statistically significant(P<0.05).Conclusion The detection rate of Doppler ultrasonography is relatively high in the early diagnosis and differential diagnosis of uterine horn pregnancy,due to the significant differences in ultrasonic manifestations and blood flow signals between u

关 键 词：早期宫角妊娠 输卵管间质部妊娠 超声诊断 鉴别 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714[医药卫生—诊断学]