彩色多普勒超声诊断仪结合PROG、TSH检验预测妊娠结局的作用  

The Role of Color Doppler Ultrasound Diagnostic Instrument Combined with PROG and TSH Test to Predict Pregnancy Outcome

作　　者：陈庆荣 CHEN Qing-rong(Ultrasound Department,Liancheng County Hospital,Fujian Longyan 366200)

机构地区：[1]连城县医院超声科,福建龙岩366200

出　　处：《中国医疗器械信息》2024年第14期118-120,共3页China Medical Device Information

摘　　要：目的:探讨采用超声联合血清诊断对孕早期的妊娠结局的影响。方法:选取2023年1月~2023年12月本院收治的60例妊娠异常孕早期患者作为研究对象,按照患者的妊娠结局进行分组,即结局不良组(n=30)以及结局良好组(n=30),选取30例同期体检的健康孕早期孕妇作为正常妊娠组,并对其结果进行分析。结果:结局不良组的促甲状腺激素(TSH)以及子宫血管血流动力学相关指标水平均高于其他两组,结局良好组高于正常妊娠组,结局不良组孕酮(PROG)水平低于其他两组,且结局良好组低于正常妊娠组(P<0.05);三组联合检出功能异常29例,未异常26例;三组联合检测诊断效能更为理想,三项联合方式的灵敏度为96.67%、特异度为86.67%、准确性为91.67%。结论:血清等指标以及超声检测对患者的妊娠结局具有一定的预测价值,但其进行联合诊断价值更为显著,为临床提供可靠依据。Objective:To explore the effect of using ultrasound combined with serum diagnosis on pregnancy outcomes in early pregnancy.Methods:60 patients with abnormal pregnancy in our hospital from January 2023 to December 2023 were selected as the study object,and the patients were grouped according to their pregnancy outcome,namely poor outcome(n=30)and good outcome(n=30),30 healthy early pregnancy pregnant women with physical examination at the same time were selected as the normal pregnancy group,and the results were analyzed.Results:The levels of thyroid stimulating hormone(TSH)and uterine vascular hemodynamics related indicators in the poor outcome group were higher than those in the other two groups.The good outcome group was higher than the normal pregnancy group,and the progesterone(PROG)levels in the poor outcome group were lower than those in the other two groups.Moreover,the good outcome group was lower than that in the normal pregnancy group(P<0.05);29 cases of functional abnormalities were detected in three groups,and 26 cases were not abnormal;The diagnostic performance of the three combined methods is more ideal,with a sensitivity of 96.67%,specificity of 86.67%,and accuracy of 91.67%.Conclusion:Serum and other indicators and ultrasound test have certain predictive value for the pregnancy outcome of patients,but their combined diagnostic value is more significant,which provides a reliable basis for clinical practice.

关 键 词：彩色多普勒超声诊断仪 PROG TSH 子宫血管血流动力学 妊娠结局 

分 类 号：R445.1[医药卫生—影像医学与核医学]