经阴道超声与经腹部超声对早期输卵管妊娠患者的诊断效果  

Diagnostic effect of transvaginal ultrasound and transabdominal ultrasound on early tubal pregnancy patients

作　　者：赵崇侠 ZHAO Chongxia(Department of Ultrasound,Linyi Central Hospital,Linyi,Shandong 276400,China)

机构地区：[1]临沂市中心医院超声科,山东临沂276400

出　　处：《影像研究与医学应用》2024年第2期18-20,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:分析早期输卵尿管异位妊娠患者诊断中应用经阴道超声与经腹部超声的效能。方法:选取临沂市中心医院2019年1月—2023年11月收治的253例疑似早期输卵管妊娠患者,均实施经腹超声与经阴道超声检查,且应用腹腔镜探查手术诊疗,以腹腔镜探查诊断结果为标准,比较不同检查方式的临床诊断价值。结果:253例患者腹腔镜检查诊断显示,247例阳性,6例阴性,经阴道超声检查的灵敏度、准确率明显高于经腹部超声(P<0.05);经阴道超声的“输卵管环”征与滋养层血流频谱检出率均高于经腹部超声(P<0.05);阴道超声异位妊娠的典型特征附件包块、假孕囊、胚芽、盆腔积液、原始血管搏动检出率高于经腹部超声(P<0.05)。结论:早期输卵尿管异位妊娠患者的诊断中经阴道超声具备更高的诊断效能,建议临床应用。Objective To analyze the efficacy of transvaginal ultrasonography and transabdominal ultrasonography in the diagnosis of ectopic pregnancy.Methods A total of 253 patients suspected of early tubal pregnancy admitted to Linyi Central Hospital from January 2019 to November 2023 were selected.All of them underwent transabdominal ultrasound and transvaginal ultrasound,as well as laparoscopic exploration surgery.The clinical diagnostic value of different examination methods was compared based on the diagnostic results of laparoscopic exploration.Results Of 253 patients,247 were positive and 6 were negative.The sensitivity and accuracy of transvaginal ultrasonography were significantly higher than that of transabdominal ultrasonography(P<0.05).The detection rates of"tubal ring"sign and trophoblast flow spectrum of transvaginal ultrasound were higher than those of transabdominal ultrasound(P<0.05).The typical characteristics of ectopic pregnancy were adnexal mass,false pregnancy sac,germ,pelvic effusion and original blood vessel pulsation,which were detected by transvaginal ultrasound were higher than those by transabdominal ultrasound(P<0.05).Conclusion Transvaginal ultrasound has higher diagnostic efficacy in the early diagnosis of ectopic pregnancy in fallopian tubes,and clinical application is recommended.

关 键 词：早期异位妊娠 诊断 经阴道超声 经腹部超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]