经阴道彩超对输卵管间质部妊娠定位诊断的价值
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摘要
目的:探讨经阴道彩色多普勒超声(TVCDU)应用于输卵管间质部妊娠定位诊断中的价值。方法:回顾性分析31例患者的病历资料,均因临床疑诊输卵管间质部妊娠而住院手术治疗。术前均序贯予以经腹部彩色多普勒超声(TACDU)和TVCDU检查。以手术-病检结果作为诊断的金标准,对两种检查途径诊断输卵管间质部妊娠的敏感性、特异性及准确性进行比较分析。结果:31例患者中24例输卵管间质部妊娠,7例为宫角妊娠,均经手术-病理检查结果所确诊。TVCDU诊断间质部妊娠的敏感性(95.83%)、特异性(71.43%)和准确性(90.32%)高于TACDU诊断的79.17%、28.57%、67.74%,差异均有统计学意义(P<0.05)。结论:TVCDU应用于诊断输卵管间质部妊娠,相较于TACDU,可显著提高诊断的敏感性、特异性与准确性,可作为输卵管间质部妊娠筛查的首选方法。
Objective:To explore the value of transvaginal color Doppler ultrasound(TVCDU) in the localization diagnosis of interstitial tubal pregnancy.Method:A retrospective analysis was made of the medical records of 31 patients,all of whom were hospitalized for surgical treatment due to clinically suspected tubal interstitial pregnancy.transabdominal color Doppler ultrasound(TACDU) and TVCDU were sequentially examined before operation.The sensitivity,specificity and accuracy of the two methods for diagnosis of interstitial tubal pregnancy were compared and analyzed with the results of surgery and pathology as the gold standard for diagnosis.Result:A total of 31 patients,including 24 cases of tubal interstitial pregnancy,7 cases of uterine horn pregnancy,were diagnosed by surgical-pathological examination.The sensitivity(95.83%),specificity(71.43%) and accuracy(90.32%) of TVCDU in the diagnosis of interstitial pregnancy were higher than 79.17%,28.57%,67.74% of TACDU respectively with statistical significance(P<0.05).Conclusion:Compared with TACDU,TVCDU can significantly improve the sensitivity,specificity and accuracy of diagnosis,and can be used as the first choice for tubal interstitial pregnancy screening.
Objective:To explore the value of transvaginal color Doppler ultrasound(TVCDU) in the localization diagnosis of interstitial tubal pregnancy.Method:A retrospective analysis was made of the medical records of 31 patients,all of whom were hospitalized for surgical treatment due to clinically suspected tubal interstitial pregnancy.transabdominal color Doppler ultrasound(TACDU) and TVCDU were sequentially examined before operation.The sensitivity,specificity and accuracy of the two methods for diagnosis of interstitial tubal pregnancy were compared and analyzed with the results of surgery and pathology as the gold standard for diagnosis.Result:A total of 31 patients,including 24 cases of tubal interstitial pregnancy,7 cases of uterine horn pregnancy,were diagnosed by surgical-pathological examination.The sensitivity(95.83%),specificity(71.43%) and accuracy(90.32%) of TVCDU in the diagnosis of interstitial pregnancy were higher than 79.17%,28.57%,67.74% of TACDU respectively with statistical significance(P<0.05).Conclusion:Compared with TACDU,TVCDU can significantly improve the sensitivity,specificity and accuracy of diagnosis,and can be used as the first choice for tubal interstitial pregnancy screening.
引文
[1]曹泽毅.中华妇产科学[M].北京:人民卫生出版社,2014:1304-1312.
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[3]景红霞,杨波,雷琳,等.经阴道超声鉴别体外受精-胚胎移植术后宫角妊娠与输卵管间质部妊娠的价值[J].蚌埠医学院学报,2015,40(5):670-671.
[4]陈志红,吴淑芬,郑伟坤,等.子宫角妊娠与输卵管间质部妊娠的超声诊断及鉴别诊断分析[J].福建医科大学学报,2016,50(2):129-132.
[5]练敏,何晓琴.应用阴道三维超声诊断及鉴别诊断宫角妊娠与输卵管间质部妊娠的价值[J].中国医学创新,2017,14(32):70-74.
[6]王凤,金兰,张科勋.经阴道与腹部超声诊断宫角妊娠的临床价值[J].海南医学,2016,27(22):3709-3711.
[7]孙彦芹.彩色多普勒超声对子宫宫角部妊娠和输卵管间质部妊娠的诊断价值[J].影像技术,2017(5):31-33.
[8]赵苏云,穆研,段晓莉,等.彩色多普勒超声在宫角妊娠中的诊断价值[J].实用医学影像杂志,2016,17(1):70-71.
[9]程靖丹,张忠路.宫角及输卵管妊娠的超声诊断分析[J].中国妇幼健康研究,2017,18(12):1704-1706.
[10]吴丽霞,罗友,魏春英,等.超声检查在宫角妊娠和间质部妊娠定位诊断中的应用[J].蚌埠医学院学报,2017,42(3):374-375,378.
[11]李玉梅,许惠方.输卵管间质部妊娠与宫角妊娠的超声诊断与鉴别[J].齐齐哈尔医学院学报,2014,35(18):2737-2738.
[12]王银,李谊,钱隽,等.早期宫角妊娠的超声诊断与鉴别诊断[J].齐齐哈尔医学院学报,2014,30(12):1117-1119.
[2]冯颖妍,梁金花.子宫角妊娠与输卵管间质部妊娠的超声声像图特点及鉴别诊断分析[J].牡丹江医学院学报,2018,39(1):45-46.
[3]景红霞,杨波,雷琳,等.经阴道超声鉴别体外受精-胚胎移植术后宫角妊娠与输卵管间质部妊娠的价值[J].蚌埠医学院学报,2015,40(5):670-671.
[4]陈志红,吴淑芬,郑伟坤,等.子宫角妊娠与输卵管间质部妊娠的超声诊断及鉴别诊断分析[J].福建医科大学学报,2016,50(2):129-132.
[5]练敏,何晓琴.应用阴道三维超声诊断及鉴别诊断宫角妊娠与输卵管间质部妊娠的价值[J].中国医学创新,2017,14(32):70-74.
[6]王凤,金兰,张科勋.经阴道与腹部超声诊断宫角妊娠的临床价值[J].海南医学,2016,27(22):3709-3711.
[7]孙彦芹.彩色多普勒超声对子宫宫角部妊娠和输卵管间质部妊娠的诊断价值[J].影像技术,2017(5):31-33.
[8]赵苏云,穆研,段晓莉,等.彩色多普勒超声在宫角妊娠中的诊断价值[J].实用医学影像杂志,2016,17(1):70-71.
[9]程靖丹,张忠路.宫角及输卵管妊娠的超声诊断分析[J].中国妇幼健康研究,2017,18(12):1704-1706.
[10]吴丽霞,罗友,魏春英,等.超声检查在宫角妊娠和间质部妊娠定位诊断中的应用[J].蚌埠医学院学报,2017,42(3):374-375,378.
[11]李玉梅,许惠方.输卵管间质部妊娠与宫角妊娠的超声诊断与鉴别[J].齐齐哈尔医学院学报,2014,35(18):2737-2738.
[12]王银,李谊,钱隽,等.早期宫角妊娠的超声诊断与鉴别诊断[J].齐齐哈尔医学院学报,2014,30(12):1117-1119.