经阴道彩超在卵巢黄体破裂与宫外孕破裂鉴别诊断中的应用价值分析  

Application value of transvaginal color ultrasonography in differential diagnosis of ruptured corpus luteum of ovary and ruptured ectopic pregnancy

作　　者：于海燕 葛桂霞 李春峰 Yu Haiyan;Ge Guixia;Li Chunfeng(Special Clinic,Jiaozhou Central Hospital of Qingdao,Qingdao 266300,China;Department of Medical Imaging,Jiaozhou Central Hospital,Qingdao 266300,China)

机构地区：[1]青岛市胶州中心医院特检科,山东青岛266300 [2]青岛市胶州中心医院医学影像科,山东青岛266300

出　　处：《实用妇科内分泌电子杂志》2024年第17期98-100,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析经阴道彩超在卵巢黄体破裂与宫外孕破裂鉴别诊断中的应用价值。方法选取42例疑似卵巢黄体破裂与宫外孕破裂患者,应用彩色多普勒超声仪进行检查,分别应用经腹部彩超和经阴道彩超两种鉴别诊断方法实施诊断。以手术病理检查结果作为金标准,观察其诊断结果。结果经过手术病理检查结果显示,42例患者中宫外孕破裂23例,卵巢黄体破裂19例。经腹部彩超诊断准确率为52.38%;经阴道彩超诊断准确率为92.86%。两种诊断方法中,经阴道彩超诊断准确率更高,差异有统计学意义(P<0.05)。结论经阴道彩超在卵巢黄体破裂与宫外孕破裂鉴别诊断中有突出优势,疾病鉴别准确率更高。Objective To analyze the value of transvaginal color ultrasound in the differential diagnosis of ruptured corpus luteum of ovary and ruptured ectopic pregnancy.Methods 42 patients suspected to have ruptured corpus luteum of ovary and ruptured ectopic pregnancy were examined by color Doppler ultrasonography,and diagnosed by two differential diagnosis methods:transabdominal color ultrasound and transvaginal color ultrasound.The results of pathological examination were taken as the gold standard to observe the diagnostic results.Results The results of surgical and pathological examination showed that 23 cases of ectopic pregnancy rupture and 19 cases of luteal rupture of ovary in 42 patients.The diagnostic accuracy of transabdominal ultrasound was 52.38%.The diagnostic accuracy of transvaginal ultrasound was 92.86%.Among the two diagnostic methods,the diagnostic accuracy of transvaginal ultrasonography was higher,and the difference was statistically significant(P<o.05).Conclusion Transvaginal color ultrasound has a prominent advantage in the differential diagnosis of rupture of corpus luteum of ovary and rupture of ectopic pregnancy.

关 键 词：经阴道彩超 卵巢黄体破裂 宫外孕破裂 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]