阴道彩色多普勒超声对宫外孕破裂与卵巢黄体破裂的鉴别诊断价值  

Value of Transvaginal Color Doppler Ultrasound in the Differential Diagnosis of Ectopic Pregnancy Rupture and Corpus Luteum Rupture

作　　者：盛缘 潘振英 SHENG Yuan;PAN Zhen-ying(Department of Ultrasound,Nancheng County People's Hospital,Nancheng 344700,Jiangxi,China)

机构地区：[1]南城县人民医院超声科,江西南城344700

出　　处：《医学信息》2024年第3期138-140,148,共4页Journal of Medical Information

摘　　要：目的研究阴道彩色多普勒超声对宫外孕破裂与卵巢黄体破裂的鉴别诊断价值。方法选取2020年7月-2022年12月我院诊治的42例宫外孕破裂与42例卵巢黄体破裂患者为研究对象,均进行阴道彩色多普勒超声检查,观察阴道超声对宫外孕破裂与卵巢黄体破裂患者的诊断效能(敏感度、特异度)、超声征象特点(肿块直径、盆腔积液、血流参数、血流频谱表现、血流信号形态)以及阴道彩色多普勒超声诊断宫外孕破裂与卵巢黄体破裂准确率与病理结果的一致性。结果阴道超声诊断宫外孕破裂敏感度、特异度与卵巢黄体破裂患者比较,差异无统计学意义(P>0.05);宫外孕破裂患者肿块直径、盆腔积液发生率与卵巢黄体破裂患者比较,差异无统计学意义(P>0.05);宫外孕破裂患者血流参数、血流频谱表现、血流信号形态与卵巢黄体破裂患者比较,差异有统计学意义(P<0.05);阴道彩色多普勒超声诊断宫外孕破裂和卵巢黄体破裂准确率与病理结果具有较高的一致性。结论阴道彩色多普勒超声在宫外孕破裂与卵巢黄体破裂的鉴别诊断具有较高的价值,两者具有不同的超声声像图及血流特征。Objective To study the value of transvaginal color Doppler ultrasound in the differential diagnosis of ectopic pregnancy rupture and corpus luteum rupture.Methods From July 2020 to December 2022,42 patients with ectopic pregnancy rupture and 42 patients with corpus luteum rupture diagnosed and treated in our hospital were selected as the research objects.All patients were examined by vaginal color Doppler ultrasound.The diagnostic efficacy(sensitivity,specificity),ultrasound signs(mass diameter,pelvic effusion,blood flow parameters,blood flow spectrum performance,blood flow signal morphology)of vaginal ultrasound in patients with ectopic pregnancy rupture and corpus luteum rupture were observed,and the accuracy of vaginal color Doppler ultrasound in the diagnosis of ectopic pregnancy rupture and ovarian corpus luteum rupture was consistent with the pathological results.Results There was no significant difference in sensitivity and specificity between transvaginal ultrasound and ovarian corpus luteum rupture in the diagnosis of ectopic pregnancy rupture(P>0.05).There was no significant difference in tumor diameter and incidence of pelvic effusion between patients with ectopic pregnancy rupture and patients with ovarian corpus luteum rupture(P>0.05).There were significant differences in blood flow parameters,blood flow spectrum and blood flow signal morphology between patients with ectopic pregnancy rupture and patients with ovarian corpus luteum rupture(P<0.05).The accuracy of transvaginal color Doppler ultrasound in the diagnosis of ectopic pregnancy rupture and ovarian corpus luteum rupture is highly consistent with the pathological results.Conclusion Transvaginal color Doppler ultrasound has a high value in the differential diagnosis of ectopic pregnancy rupture and corpus luteum rupture.The two have different ultrasound sonograms and blood flow characteristics.

关 键 词：阴道彩色多普勒超声 宫外孕破裂 卵巢黄体破裂 

分 类 号：R714.22[医药卫生—妇产科学]