经阴道超声检查联合经腹部超声检查对异位妊娠的临床应用价值  

The Clinical Application Value of Transvaginal Ultrasound Combined with Transabdominal Ultrasound in Ectopic Pregnancy

作　　者：刘永春[1] 缪丽霞[1] 缪珍丽 LIU Yong-chun;MIAO Li-xia;MIAO Zhen-li(Ultrasound Department of Shouning County Hospital,Ningde City,Fujian Province,Fujian Ningde 355500)

机构地区：[1]福建省宁德市寿宁县医院超声科,福建宁德355500

出　　处：《中国医疗器械信息》2024年第21期113-115,共3页China Medical Device Information

摘　　要：目的:针对异位妊娠患者,探讨分析采用经阴道超声检查(TVS)联合经腹部超声检查(TAS)诊断的临床应用价值。方法:从医院2020年1月~2023年6月诊治的疑似异位妊娠患者中抽取符合纳入标准的100例病例资料及影像学资料进行回顾性分析,所有患者均进行TVS、TAS检查。以手术检查结果为金标准,分析单独检查及联合检查结果。结果:TVS与TAS联合检查与手术检查结果对疑似异位妊娠诊断一致性良好(Kappa=0.849)。灵敏度、特异度、准确率对比,发现TVS联合TAS比TVS、TAS检查更高(P<0.05);不同类型异位妊娠检出准确率对比,发现TVS联合TAS的总检出准确率更高(P<0.05)。结论:在异位妊娠诊断中联合应用TVS联合TAS诊断,可获得较高的诊断结果和诊断效能,且在一定程度上提高了患者异位妊娠特点检出率。Objective:To explore and analyze the clinical application value of using transvaginal ultrasound(TVS)combined with transabdominal ultrasound(TAS)in the diagnosis of ectopic pregnancy patients.Methods:Retrospective analysis was conducted on 100 cases and imaging data that met the inclusion criteria from suspected ectopic pregnancy patients treated in the hospital from January 2020 to June 2023,and all patients were examined for TVS and TAS.Using surgical examination results as the gold standard,the diagnostic results,efficacy and consistency of TVS,TAS,TVS and TAS were analyzed,and the detection rate of different types of ectopic pregnancies in the three examination methods was compared.Results:The combination of TVS and TAS agreed well with the diagnosis of suspected ectopic pregnancy(Kappa=0.849).Comparing sensitivity,specificity and accuracy,we found that TVS and TAS were higher than TVS and TAS(P<0.05);The comparison of the detection accuracy of different types of ectopic pregnancies found that the total detection accuracy of TVS and TAS was higher(P<0.05).Conclusion:The combination of TVS and TAS in the diagnosis of ectopic pregnancy can obtain high diagnostic results and diagnostic efficacy,and improve the detection rate of ectopic pregnancy characteristics in patients to a certain extent.

关 键 词：异位妊娠 经阴道超声检查 经腹部超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]