彩色多普勒超声在异位妊娠诊断中的声像图表现及检测价值分析  

Analysis of Ultrasonographic Manifestations and Detection Value of Color Doppler Ultrasound in the Diagnosis of Ectopic Pregnancy

作　　者：黄梦倩 刘伟侠 HUANG Mengqian;LIU Weixia(Department of Functional Inspection,Shangrao Guangfeng District People's Hospital,Shangrao 334600,Jiangxi,China;CT/MR Room,Shangrao Guangfeng District People's Hospital,Shangrao 334600,Jiangxi,China)

机构地区：[1]上饶市广丰区人民医院功能检查科,江西上饶334600 [2]上饶市广丰区人民医院CT/MR室,江西上饶334600

出　　处：《医学信息》2024年第22期153-156,共4页Journal of Medical Information

摘　　要：目的研究彩色多普勒超声在异位妊娠诊断中的声像图表现及检测价值。方法以2020年8月-2023年8月我院收治的60例异位妊娠患者设为异位妊娠组,另取同期产检正常的50名宫内妊娠女性设为宫内妊娠组,两组均给予彩色多普勒超声检查,分析异位妊娠患者的声像图表现,比较异位妊娠组与宫内妊娠组的血流分级、子宫内膜厚度及黄体血流动力学参数[血流阻力指数(RI)、搏动指数(PI)、收缩期峰值流速(PSV)];并以手术结果为金标准,分析彩色多普勒超声对异位妊娠的诊断价值。结果异位妊娠患者的声像图特征主要表现为宫内无妊娠囊,子宫大小正常或轻度增大,附件区或盆腔内可见不规则包块,孕囊型包块(26.67%)呈环状高回声结构,混合型包块(73.33%)呈中低、中高回声,伴不等量的盆、腹腔积液。异位妊娠组与宫内妊娠组血流分级、子宫内膜厚度、RI、PI、PSV比较,差异有统计学意义(P<0.05)。彩色多普勒超声对异位妊娠的准确率为95.00%,误诊率为3.33%,漏诊率为1.67%。结论彩色多普勒超声在异位妊娠检测中具有确切诊断作用,可提供丰富的声像图特征与血流参数,具有较高诊断准确率。Objective To study the ultrasonographic manifestations and detection value of color Doppler ultrasound in the diagnosis of ectopic pregnancy.Methods From August 2020 to August 2023,60 patients with ectopic pregnancy admitted to our hospital were set as ectopic pregnancy group,and 50 women with intrauterine pregnancy who had normal prenatal examination during the same period were set as intrauterine pregnancy group.Both groups were given color Doppler ultrasound examination.The ultrasonographic manifestations of ectopic pregnancy patients were analyzed,and the blood flow grading,endometrial thickness and luteal hemodynamic parameters[blood flow resistance index(RI),pulsatility index(PI),peak systolic velocity(PSV)]of ectopic pregnancy group and intrauterine pregnancy group were compared.The diagnostic value of color Doppler ultrasound in ectopic pregnancy was analyzed with the surgical results as the gold standard.Results The sonographic features of patients with ectopic pregnancy were mainly manifested as no gestational sac in the uterus,normal or slightly enlarged uterus,irregular mass in the adnexal area or pelvic cavity,gestational sac mass(26.67%)with annular hyperechoic structure,mixed mass(73.33%)with medium-low and medium-high echo,with unequal amount of pelvic and abdominal effusion.There were significant differences in blood flow classification,endometrial thickness,RI,PI and PSV between ectopic pregnancy group and intrauterine pregnancy group(P<0.05).The accuracy of color Doppler ultrasound in ectopic pregnancy was 95.00%,the misdiagnosis rate was 3.33%,and the missed diagnosis rate was 1.67%.Conclusion Color Doppler ultrasound has a definite diagnostic effect in the detection of ectopic pregnancy,which can provide rich sonographic features and blood flow parameters,and has a high diagnostic accuracy.

关 键 词：异位妊娠 彩色多普勒超声 血流阻力指数 搏动指数 收缩期峰值流速 

分 类 号：R445.1[医药卫生—影像医学与核医学]