阴式彩色多普勒超声对卵巢黄体破裂与宫外孕破裂的价值分析  

Value analysis of vaginal color Doppler ultrasonography for rupture of corpus luteum of ovary and rupture of ectopic pregnancy

作　　者：王海云 Wang Haiyun(Department of Ultrasound,Jiangyin Ligang Hospital,Jiangyin 214400,China)

机构地区：[1]江阴市利港医院超声科,江苏江阴214400

出　　处：《实用妇科内分泌电子杂志》2024年第10期88-90,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨阴式彩色多普勒超声在卵巢黄体破裂与宫外孕破裂中的临床价值。方法选取50例卵巢黄体破裂与宫外孕破裂患者为研究对象,经临床手术确诊分为卵巢黄体破裂组(n=22)和宫外孕破裂组(n=28)。两组均行阴式彩色多普勒超声检查,比较两组影像学情况、血流特征、血流动力学指标。结果宫外孕破裂组的卵巢体积、异常回声区直径、液性暗区深度均低于卵巢黄体破裂组(P<0.05);宫外孕破裂组血流特征以条状或点状为主,卵巢黄体破裂组血流特征以环状为主,宫外孕破裂组条状或点状率高于卵巢黄体破裂组,环状率低于卵巢黄体破裂组(P<0.05);宫外孕破裂组收缩期峰值流速低于卵巢黄体破裂组,阻力指数、搏动指数高于卵巢黄体破裂组(P<0.05)。结论阴式彩色多普勒超声对卵巢黄体破裂与宫外孕破裂的临床价值较高,可以有效区分两者情况,同时能在短时间内完成扫描,可清晰观察患者宫腔内情况,为临床治疗提供科学图像支持。Objective To investigate the clinical value of vaginal color Doppler ultrasound in ruptured corpus luteum of ovary and ruptured ectopic pregnancy.Methods A total of 50 patients with ruptured luteal ovary and ruptured ectopic pregnancy were selected as the study objects,and were divided into ruptured luteal ovary group(n=22)and ruptured ectopic pregnancy group(n=28)after clinical surgery.Color Doppler ultrasound was performed in both groups,and the imaging status,blood flow characteristics and hemodynamic indexes of the two groups were compared.Results The volume of ovary,diameter of abnormal echo region and depth of liquid dark region in the ruptured ectopic pregnancy group were lower than those in the ruptured corpus luteum group(P<0.05).The blood flow characteristics of the ruptured ectopic pregnancy group were mainly striped or punctate,and the blood flow characteristics of the ruptured luteal ovary group were mainly ring,the rate of striped or punctate ectopic pregnancy group was higher than that of the ruptured luteal ovary group,and the rate of ring blood flow was lower than that of the ruptured luteal ovary group(P<0.05).The peak systolic flow rate in the ruptured ectopic pregnancy group was lower than that in the ruptured luteal ovary group,and the resistance index and pulsation index were higher than those in the ruptured luteal ovary group(P<0.05).Conclusion Vaginal color Doppler ultrasound is of high clinical value for rupture of corpus luteum of ovary and rupture of ectopic pregnancy,which can effectively distinguish the two cases,and can complete the scan in a short time,which can clearly observe the intrauterine situation of patients,and provide scientific image support for clinical treatment.

关 键 词：卵巢黄体破裂 宫外孕破裂 阴式彩色多普勒超声 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711[医药卫生—诊断学]