两种彩色多普勒超声在早期异位妊娠中的应用价值对照分析  

Comparative analysis of the application value of two types of color Doppler sonography in early ectopic pregnancy

作　　者：冯国平 林翠莹 陆云 易慧冰 刘颖[1] 雷娟娟 刘松[1] FENG Guo-ping;LIN Cui-ying;LU Yun(Department of Ultrasound Medicine,Seventh Affiliated Hospital of Southern Medical University,Foshan 528244,China)

机构地区：[1]南方医科大学第七附属医院超声医学科,528244

出　　处：《中国现代药物应用》2024年第16期79-81,共3页Chinese Journal of Modern Drug Application

摘　　要：目的比较经阴道彩色多普勒超声(TVCDS)与经腹部彩色多普勒超声(TACDS)在早期异位妊娠中的应用价值。方法回顾性分析102例早期异位妊娠患者,根据其术前接受超声检查类型不同进行分组,即阴道组(68例,实施经阴道彩色多普勒超声检查)、腹部组(23例,实施经腹部彩色多普勒超声检查)和联合组(11例,先后实施经腹部和经阴道彩色多普勒超声检查)。比较经阴道彩色多普勒超声检查和经腹部彩色多普勒超声检查中典型超声影像学征象检出率,比较三组诊断准确率。结果典型超声影像学征象检出率以附件包块为最高,其次为盆腔积液;而阴道组附件包块检出率72.06%高于腹部组的47.83%(P<0.05);阴道组和腹部组的盆腔积液、胚芽、原始心血管搏动检出率比较无差异(P>0.05)。联合组诊断准确率100.00%高于阴道组的72.06%和腹部组的47.83%,阴道组诊断准确率高于腹部组(P<0.05)。结论彩色多普勒超声可作早期异位妊娠的首选检查方式,经阴道彩色多普勒超声检出率高,而联合检查诊断率更高,具有临床应用价值。Objective To compare the application value of transvaginal color Doppler sonography(TVCDS)and transabdominal color Doppler sonography(TACDS)in early ectopic pregnancy.Methods 102 patients with early ectopic pregnancy were retrospectively analyzed.They were grouped according to the type of preoperative sonography they underwent,i.e.,the vaginal group(68 cases,transvaginal color Doppler sonography),the abdominal group(23 cases,transabdominal color Doppler sonography),and the combined group(11 cases,transabdominal and transvaginal color Doppler sonography).The detection rate of typical ultrasound imaging signs of transabdominal and transvaginal color Doppler sonography was compared,as well as the diagnostic accuracy of three groups.Results Among the typical ultrasound imaging signs detected,the detection rate of accessory masses was the highest,followed by pelvic fluid accumulation.However,the detection rate of accessory masses in the vaginal group was higher than that in the abdominal ultrasound(P<0.05).There were no differences in the detection rates of pelvic effusion,germ and primitive cardiovascular pulsation between the vaginal group and the abdominal group(P>0.05).The diagnostic accuracy of the combined group was 100.00%,which was higher than 72.06%of the vaginal group and 47.83%of the abdominal group(P<0.05).Conclusion Color Doppler sonography can be used as the first choice for early ectopic pregnancy.The detection rate of transvaginal color Doppler sonography is high,and the diagnosis rate of combined examination is higher,which has clinical application value.

关 键 词：经阴道彩色多普勒超声 经腹部彩色多普勒超声 早期异位妊娠 诊断价值 

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]