经阴道与经腹部超声检查对异位妊娠诊断价值的对比研究  

Comparative study on the diagnostic value of transvaginal and transabdominal ultrasonography in ectopic pregnancy

作　　者：杜素珍 高小丽 Du Su-zhen;Gao Xiao-li(Department of Ultrasound,Jiyuan Maternal and Child Health Hospital,Jiyuan 454650,Henan,China)

机构地区：[1]济源妇幼保健院超声科,河南济源454650

出　　处：《四川生理科学杂志》2024年第4期888-890,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:探讨在异位妊娠早期患者中应用经阴道超声的临床诊断价值。方法:以2021年4月至2023年4月本院收治的50例高度疑似异位妊娠患者为研究对象,予以经腹及经阴道超声诊断。以腹腔镜检查结果作为金标准,比较经腹部及经阴道超声检查对异位妊娠的检出率;分析两种检查方式与金标准检查结果之间的一致性;对比其典型声像图的检出情况。结果:经腹部超声检查对异位妊娠的检出率和诊断异位妊娠的准确性、灵敏度、与腹腔镜检查诊断之间的一致性程度、典型声像图(外孕囊影中可见胚芽、子宫内假孕囊、盆腔积液及附件区包块)的检出率均明显低于经阴道超声检查,漏诊率则明显高于经阴道超声检查(P<0.05)。结论:在异位妊娠患者中应用经阴道超声不仅可有效检出异位妊娠类型,具有较高诊断准确性及灵敏度,还可明确检出其典型声像图,临床应用价值较高。Objective:To investigate the clinical diagnostic value of transvaginal ultrasound in the early stage of ectopic pregnancy.Methods:50 patients with high suspected ectopic pregnancy admitted to our hospital from April 2021 to April 2023 were studied and diagnosed by transabdominal and transvaginal ultrasound.Using the results of laparoscopy as the gold standard,the detection rate of transabdominal and transvaginal ultrasonography in ectopic pregnancy was compared.The consistency between the two inspection methods and the gold standard inspection results was analyzed.The detection of typical acoustic images was compared.Result:The detection rate of transabdominal ultrasonography for ectopic pregnancy,the accuracy and sensitivity of diagnosis of ectopic pregnancy,the consistency degree with laparoscopic diagnosis,and the detection rate of typical sonography(visible embryo in the external pregnancy sac,false pregnancy sac in utero,pelvic effusion and mass in the adnexal area)were significantly lower than that of transvaginal ultrasonography.The rate of missed diagnosis was significantly higher than that of transvaginal ultrasound(P<0.05).Conclusion:The application of transvaginal ultrasound in patients with ectopic pregnancy can not only effectively detect the type of ectopic pregnancy,with high diagnostic accuracy and sensitivity,but also clearly detect its typical sonogram,which has high clinical application value.

关 键 词：经阴道超声 宫颈妊娠 灵敏度 异位妊娠 临床价值 

分 类 号：R714.22[医药卫生—妇产科学]