阴道超声结合容积对比成像C平面检查联合HCG、孕酮测定在异位妊娠诊断中的价值  

Value of vaginal ultrasound and volume contrast imaging C plane examination combined with HCG and progesterone detection in the diagnosis of ectopic pregnancy

作　　者：邓慧杰 DENG Huijie(Ultrasound Department,Zhongshan City Sanjiao Hospital,Zhongshan 528445,China)

机构地区：[1]广东省中山市三角医院超声科,广东中山528445

出　　处：《临床医学研究与实践》2024年第3期109-112,共4页Clinical Research and Practice

摘　　要：目的探讨阴道超声结合容积对比成像C平面(VCI-C)检查联合人绒毛膜促性腺激素(HCG)、孕酮测定在异位妊娠诊断中的价值。方法根据纳入及排除标准,回顾性纳入2019年1月至2023年1月收治的停经6~8周且伴有腹痛、阴道流血的80例患者的病历资料,所有患者均接受阴道超声结合VCI-C检查及HCG和孕酮测定。分析阴道超声结合VCI-C检查联合HCG、孕酮测定在异位妊娠诊断中的价值。结果术后病理诊断结果显示,80例患者中有异位妊娠74例,占比92.50%。以术后病理诊断结果作为金标准,阴道超声结合VCI-C检查诊断异位妊娠结果与术后病理诊断结果的一致性一般(Kappa=0.586,P=0.001);HCG联合孕酮检测诊断异位妊娠结果与术后病理诊断结果的一致性差(Kappa=0.355,P=0.001);阴道超声结合VCI-C检查联合HCG、孕酮检测诊断异位妊娠结果与术后病理诊断结果的一致性较好(Kappa=0.820,P<0.001)。阴道超声结合VCI-C检查联合HCG、孕酮检测诊断异位妊娠的灵敏度、准确度均显著高于阴道超声结合VCI-C检查与HCG联合孕酮检测(P<0.05)。结论阴道超声结合VCI-C检查联合HCG、孕酮检测诊断结果与术后病理诊断结果一致性好,对于异位妊娠的诊断价值高,可为该疾病的临床诊治提供参考依据。Objective To investigate the value of vaginal ultrasound and volume contrast imaging C plane(VCI-C)examination combined with human chorionic gonadotropin(HCG)and progesterone detection in the diagnosis of ectopic pregnancy.Methods According to the inclusion and exclusion criteria,the medical records of 80 patients with 6-8 weeks of menopause and abdominal pain and vaginal bleeding admitted from January 2019 to January 2023 were retrospectively included.All patients underwent vaginal ultrasound combined with VCI-C examination and HCG and progesterone detection.The value of vaginal ultrasound and VCI-C examination combined with HCG and progesterone determination in the diagnosis of ectopic pregnancy was analyzed.Results The results of postoperative pathological diagnosis showed that there were 74 cases of ectopic pregnancy in 80 patients,accounting for 92.50%.Postoperative pathological diagnosis was taken as the gold standard,the consistency between the results of vaginal ultrasound combined with VCI-C examination in the diagnosis of ectopic pregnancy and postoperative pathological diagnosis was generally(Kappa=0.586,P=0.001);the consistency between the results of HCG combined with progesterone detection in the diagnosis of ectopic pregnancy and postoperative pathological diagnosis was poor(Kappa=0.355,P=0.001);the consistency between the results of vaginal ultrasound and VCI-C examination combined with HCG and progesterone detection in the diagnosis of ectopic pregnancy and postoperative pathological diagnosis was good(Kappa=0.820,P<0.001).The sensitivity and accuracy of vaginal ultrasound and VCI-C examination combined with HCG and progesterone detection in the diagnosis of ectopic pregnancy were significantly higher than those of vaginal ultrasound combined with VCI-C examination and HCG combined with progesterone detection,respectively(P<0.05).Conclusion The diagnostic results of vaginal ultrasound and VCI-C examination combined with HCG and progesterone detection is consistent with the postoperative pathologic

关 键 词：异位妊娠 阴道超声 容积对比成像C平面 人绒毛膜促性腺激素 孕酮 

分 类 号：R714.22[医药卫生—妇产科学] R445.1[医药卫生—临床医学]