经阴道超声测量近端输卵管外径对评估早期输卵管妊娠的诊断价值  

Diagnostic value of transvaginal ultrasound measurement of outer diameter of proximal fallopian tube for evaluating early tubal pregnancy

作　　者：曾欣 罗纪清 唐春霖 雷达 钟岚 ZENG Xin;LUO Jiqing;TANG Chunlin(Department of Ultrasound,Chongqing Shapingba Chenjiaqiao Hospital/Chongqing Medical College Affiliated Hospital,Chongqing 401331,China;不详)

机构地区：[1]重庆市沙坪坝区陈家桥医院/重庆医药高等专科学校附属医院超声科,重庆401331 [2]陆军军医大学第一附属医院超声科,重庆400037 [3]重庆市沙坪坝区陈家桥医院/重庆医药高等专科学校附属医院放射科,重庆401331 [4]邵阳学院附属第一医院超声科,湖南邵阳422000

出　　处：《医师在线》2025年第1期67-69,共3页Journal of Doctors Online

摘　　要：目的探讨经阴道超声测量近端输卵管外径对评估早期输卵管妊娠的诊断价值。方法收集2021年1月~2022年12月重庆市沙坪坝区陈家桥医院/重庆医药高等专科学校附属医院148例经手术确诊的输卵管妊娠患者的超声声像图资料进行回顾性分析。所有患者术前均行经阴道超声检查,以手术探查结果为“金标准”,分析经阴道超声测量近端输卵管外径对评估早期输卵管妊娠的诊断价值。结果148例输卵管妊娠患者中,输卵管壶腹部妊娠100例,输卵管峡部妊娠15例,输卵管伞部妊娠8例,输卵管间质部妊娠25例。因输卵管间质部妊娠包块部分向子宫外膨隆,此类患者近端输卵管外径无法取样测量。在同一节段中,输卵管壶腹部妊娠和输卵管峡部妊娠患侧近端输卵管外径均高于健侧,差异有统计学意义(P<0.05)。输卵管伞部妊娠患侧近端输卵管外径和健侧比较,差异无统计学意义(P>0.05)。在不同节段中,输卵管伞部妊娠患侧近端输卵管外径显著低于输卵管壶腹部妊娠和输卵管峡部妊娠,差异有统计学意义(P<0.05),输卵管壶腹部妊娠与输卵管峡部妊娠患侧近端输卵管外径比较,差异无统计学意义(P>0.05)。结论经阴道超声测量近端输卵管外径对评估早期输卵管妊娠有一定的诊断价值。临床在判断输卵管妊娠的发生节段时,若患者的患侧近端输卵管外径增粗,且高于同一节段健侧,可作为输卵管壶腹部妊娠和峡部妊娠的特异性证据。Objective To investigate the diagnostic value of transvaginal ultrasound measurement of outer diameter of proximal fallopian tube in the evaluation of early tubal pregnancy.Methods The ultrasonographic data of 148 patients with tubal pregnancy diagnosed by surgery in Chongqing Shapingba Chenjiaqiao Hospital/Chongqing Medical College Affiliated Hospital from January 2021 to December 2022 were retrospectively analyzed.All patients underwent transvaginal ultrasonography before operation.The results of surgical exploration were used as the gold standard to analyze the diagnostic value of transvaginal ultrasonography in measuring the outer diameter of proximal fallopian tube in evaluating early tubal pregnancy.Results Among the 148 patients with tubal pregnancy,there were 100 cases of tubal ampullary pregnancy,15 cases of tubal isthmus pregnancy,8 cases of tubal umbrella pregnancy and 25 cases of tubal interstitial pregnancy.Due to the tubal interstitial pregnancy mass partially bulging out of the uterus,the external diameter of the proximal fallopian tube in such patient cannot be sampled and measured.In the same segment,the outer diameter of the proximal fallopian tube in the affected side of tubal ampullary pregnancy and tubal isthmus pregnancy was higher than that in the healthy side,and the difference was statistically significant(P<0.05).There was no significant difference in the outer diameter of the proximal fallopian tube between the affected side and the healthy side in fimbrial pregnancy(P>0.05).Among different segments,the outer diameter of the proximal the fallopian tube of the affected side of the tubal umbrella pregnancy was significantly lower than that of the tubal ampullary pregnancy and the tubal isthmus pregnancy,and the difference was statistically significant(P<0.05).There was no significant difference in the outer diameter of the proximal fallopian tube between tubal ampullary pregnancy and tubal isthmus pregnancy(P>0.05).Conclusion Transvaginal ultrasound measurement of the outer diameter of th

关 键 词：输卵管妊娠 输卵管增粗 近端输卵管外径 超声诊断 

分 类 号：R71[医药卫生—妇产科学]