三维超声结合TUI技术与血清β-hCG联合P检测诊断异位妊娠效果比较  

Difference of the effect of three-dimensional ultrasound combined with tomographic ultrasound imaging technology and serum β-human chorionic gonadotropin and progesterone levels for diagnosing ectopic pregnancy

作　　者：钟丽 周亚萍 ZHONG Li;ZHOU Yaping(Keqiao District Maternal and Child Health Care Hospital,Shaoxing,Zhejiang Province,312030)

机构地区：[1]浙江省绍兴市柯桥区妇幼保健院,312030

出　　处：《中国计划生育学杂志》2024年第4期894-897,902,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨经阴道三维超声联合断层超声显像技术(TUI)与血清β-人绒毛膜促性腺激素(β-hCG)联合孕酮(P)诊断异位妊娠效果。方法:选取2020年6月-2022年12月本院妇产科接诊的高度怀疑异位妊娠妇女200例,均接受经阴道三维超声、TUI、血清β-hCG和P检查或检测,以临床及手术病理学结果作为金标准,对比两种方式诊断异位妊娠的临床价值。结果:经阴道三维超声联合TUI诊断异位妊娠符合率为92.5%、诊断输卵管妊娠符合率为95.0%、诊断子宫角妊娠符合率为81.8%;异位妊娠患者的血清β-hCG、P水平均高于宫内妊娠妇女(P<0.05)。经阴道三维超声联合TUI诊断异位妊娠灵敏度93.2%、特异度89.7%,血清β-hCG联合P诊断异位妊娠灵敏度为82.0%、特异度71.8%;经阴道三维超声联合TUI诊断不同类型输卵管妊娠,在包块直径、包块边界、包块内部结构、卵黄囊检出率、原始心管检出率方面均有不同(均P<0.05)。结论:经阴道三维超声联合TUI诊断异位妊娠较血清β-hCG联合P有更高的灵敏度和特异度,对输卵管妊娠类型可以早期作出相关判断。Objective:To explore the difference of the effect of three-dimensional ultrasound combined with tomographic ultrasound imaging(TUD)technology and serum β-human chorionic gonadotropin(β-hCG)and progesterone(P)levels of patients for diagnosing their ectopic pregnancy.Methods:A total of 200 patients with the high suspicion of ectopic pregnancy who admitted to hospital from June 2020 to December 2022 were selected in this study.All the patients had received the transvaginal three-dimensional ultrasound and TUI examinations,and the serum β-hCG and P levels of the patients were detected.The clinical and the postoperative pathology results of the patients were used as the gold standard,the clinical value difference of the transvaginal three-dimensional ultrasound and TUI examinations for diagnosing the ectopic pregnancy of the patients was compared.Results:The pathological results was as the gold standard,the overall coincidence rate of the transvaginal three-dimensional ultrasound combined with TUI examinations for diagnosing the ectopic pregnancy of the patients was 92.50%,and the coincidence rates of them were 94.96% and 81.82%.The detection levels of the serum β-hCG and P of the patients with ectopic pregnancy were significantly lower than those of the patients with intrauterine pregnancy(P<0.05).The sensitivity and the specificity of the transvaginal three-dimensional ultrasound combined with TUI examinations for diagnosing the ectopic pregnancy of the patients were 93.17% and 89.74%,and which of the levels of serum β-hCG and P of the patients for diagnosing their ectopic pregnancy were 81.99% and 71.79%.The results of the transvaginal three-dimensional ultrasound combined with TUI examinations for diagnosing the ectopic pregnancy showed that there were significant differences in the mass diameter,boundary and internal structure,the yolk sac detection rate,and the original heart tube detection rate among the patients with different types of tubal pregnancy(P<0.05).Conclusion:Compared with those of the serum β

关 键 词：异位妊娠 经阴道三维超声 断层超声显像技术 Β-人绒毛膜促性腺激素 孕酮 

分 类 号：R714.22[医药卫生—妇产科学]