腹部超声辅助经阴道超声检查诊断异位妊娠的应用价值  

Application Value of Abdominal Ultrasonography Assisted Transvaginal Ultrasonography in Diagnosis of Ectopic Pregnancy

作　　者：程超[1] 华翠萍 符锦英 王玉莹[1] 徐臻[1] CHENG Chao;HUA Cuiping;FU Jinying;WANG Yuying;XU Zhen(Department of Functional,Foshan Women and Children·Hospital,Foshan Guangdong 528000,China)

机构地区：[1]佛山市妇幼保健院功能科,广东佛山528000

出　　处：《中国卫生标准管理》2024年第14期40-43,共4页China Health Standard Management

摘　　要：目的观察腹部超声辅助经阴道检查应用于异位妊娠孕妇的诊断价值。方法回顾性分析2021年1月—2023年1月佛山市妇幼保健院100例疑似异位妊娠孕妇的临床资料,以上患者均先实施腹部超声检查,而后行经阴道超声检查。观察不同检查方式的诊断符合率,对不同检查方式的声像图特征进行分析。结果腹部超声检查符合率为80.0%,误诊率为12.0%,漏诊率为8.0%;经阴道超声检查符合率为87.0%,误诊率为10.0%,漏诊率为3.0%;联合超声检查符合率为98.0%,误诊率为0,漏诊率为2.0%;联合超声检查诊断符合率高于腹部超声检查、经阴道超声检查,差异有统计学意义(P<0.05)。联合超声检查宫内假孕囊、附件区域包块分别为56.0%、69.0%;腹部超声检查宫内假孕囊、附件区域包块分别为28.0%、47.0%,经阴道超声检查宫内假孕囊和附件区域包块分别为47.0%、63.0%。联合超声检查下宫内假孕囊、附件区域包块的诊断阳性率高于经阴道超声检查、腹部超声检查,差异有统计学意义(P<0.05)。结论在异位妊娠临床诊断工作中,腹部超声辅助下实施经阴道超声检查可以获得比较高的诊断符合率。因此必要时可将腹部超声检查、经阴道超声检查联合使用,可以显著减少误诊、漏诊。Objective To study the clinical diagnostic value of abdominal ultrasonography assisted transvaginal examination in ectopic pregnancy.Methods The clinical data of 100 suspected ectopic pregnancies in Foshan Women and Children·Hospital from January 2021 to January 2023 were retrospectively analyzed.All the above patients underwent abdominal ultrasonography first and then transvaginal ultrasonography.The diagnostic coincidence rate of different examination methods was observed,and the sonogram features of different examination methods were analyzed.Results Abdominal ultrasonography met 80.0%,misdiagnosed 12.0%,missed 8.0%,transvaginal ultrasonography met 87.0%,misdiagnosed 10.0%,missed 3.0%,and combined ultrasonography met 98.0%,misdiagnosed 0,missed 2.0%,the diagnostic coincidence rate of combined ultrasonography was higher than that of abdominal ultrasonography and transvaginal ultrasonography,the difference was statistically significant(P<0.05).Combined with ultrasound examination,the rate of intrauterine false pregnancy sac and adnexal mass was 56.0%and 69.0%respectively.The results of abdominal ultrasonography were 28.0%and 47.0%respectively.The results of transvaginal ultrasonography were 47.0%and 63.0%respectively.The diagnostic positive rate of intrauterine false pregnancy sac and adnexal mass under combined ultrasonography was higher than that of transvaginal ultrasonography and abdominal ultrasonography,and the difference was statistically significant(P<0.05).Conclusion In the clinical diagnosis of ectopic pregnancy,transvaginal ultrasound assisted by abdominal ultrasound can obtain a relatively high diagnostic coincidence rate.Therefore,when necessary,abdominal ultrasonography and transvaginal ultrasonography can be combined to significantly reduce misdiagnosis and missed diagnosis.

关 键 词：腹部超声 经阴道超声检查 异位妊娠 临床诊断 诊断符合率 联合检查 

分 类 号：R445[医药卫生—影像医学与核医学]