经腹部超声诊断宫外孕的价值探析
|
摘要
目的:探究经腹部超声诊断宫外孕的临床价值。方法:选择2015年2月至2017年2月咸阳市中心医院接受治疗的80例宫外孕患者作为研究对象,所有患者均实施经腹部超声诊断,将诊断结果与病理检查结果进行比较分析,观察其诊断符合率、漏诊情况等。结果:经腹部超声诊断共有74例患者确诊为宫外孕,诊断符合率为92. 5%(74/80),与病理检查结果比较差异无统计学意义(P> 0. 05)。经腹部超声声像图显示,未破裂型36例,检出率为92. 3%(36/39),破裂型16例,检出率为88. 9%(16/18),陈旧型22例,检出率为95. 7%(22/23),与病理检查结果差异无统计学意义(P> 0. 05);经腹部超声诊断附件区包块、胚芽、假孕囊等情况与病理检查结果差异无统计学意义(P> 0. 05);有3例患者出现误诊,误诊率为3. 8%(3/80),其中1例误诊为盆腔炎,2例误诊为黄体囊肿破裂,另有3例漏诊。结论:经腹部超声诊断宫外孕操作简单、无创、准确率高,可以作为诊断宫外孕的首选,值得推广应用。
Objective: To explore the clinical value of transabdominal ultrasound in the diagnosis of early ectopic pregnancy. Methods: 80 patients with ectopic pregnancy treated in Xianyang Central Hospital from February2015 to February 2017 were selected and all underwent transabdominal ultrasound. The diagnosis results were compared with pathological examination results and the coincidence rate and misdiagnosis rate was observed and recorded. Results: There were 74 cases diagnosed as ectopic pregnancy by transabdominal ultrasound,a coincidence rate of 92. 5%( 74/80),without statistically significant difference from the pathological examination results( P >0. 05). According to transabdominal ultrasound,there were 36 cases of unruptured type,a detection rate of 92. 3%( 32/39),16 cases of fracture type,a detection rate of 88. 9%( 16/18),and 22 cases of old type,a detection rate of 95. 7%( 22/23),without statistically significant difference from the pathological examination results( P >0. 05). There was no statistically significant difference in the diagnosis results of mass,embryo and phantom pregnancy bursa( P > 0. 05). There were 3 cases of missed diagnosis and 3 cases( 3. 8%) of misdiagnosis,including a case misdiagnosed as pelvic inflammation and 2 cases misdiagnosed as luteal cysts. Conclusions: Application of transabdominal ultrasound in the diagnosis of early ectopic pregnancy is simple,noninvasive and accurate,which can be used as the first choice for the diagnosis of early ectopic pregnancy and worth promotion.
Objective: To explore the clinical value of transabdominal ultrasound in the diagnosis of early ectopic pregnancy. Methods: 80 patients with ectopic pregnancy treated in Xianyang Central Hospital from February2015 to February 2017 were selected and all underwent transabdominal ultrasound. The diagnosis results were compared with pathological examination results and the coincidence rate and misdiagnosis rate was observed and recorded. Results: There were 74 cases diagnosed as ectopic pregnancy by transabdominal ultrasound,a coincidence rate of 92. 5%( 74/80),without statistically significant difference from the pathological examination results( P >0. 05). According to transabdominal ultrasound,there were 36 cases of unruptured type,a detection rate of 92. 3%( 32/39),16 cases of fracture type,a detection rate of 88. 9%( 16/18),and 22 cases of old type,a detection rate of 95. 7%( 22/23),without statistically significant difference from the pathological examination results( P >0. 05). There was no statistically significant difference in the diagnosis results of mass,embryo and phantom pregnancy bursa( P > 0. 05). There were 3 cases of missed diagnosis and 3 cases( 3. 8%) of misdiagnosis,including a case misdiagnosed as pelvic inflammation and 2 cases misdiagnosed as luteal cysts. Conclusions: Application of transabdominal ultrasound in the diagnosis of early ectopic pregnancy is simple,noninvasive and accurate,which can be used as the first choice for the diagnosis of early ectopic pregnancy and worth promotion.
引文
[1]郭维,陈恩,韦保林,等.阴道超声联合腹部B超在宫外孕诊断上的应用价值.海南医学,2014,25(21):3166-3168.
[2]林炳钦,张泽玫,钟红珠,等.经阴道超声结合腹部加压法诊断极早期宫外孕的临床价值.中国超声医学杂志,2013,29(5):443-445.
[3]高丽丽,刘晓娜,李培培.腹部超声探头联合腔内探头诊断宫外孕的价值.现代中西医结合杂志,2014,23(36):4072-4073.
[4] Ji CX. Contrast analysis of the diagnostic value of early vaginal ultrasound and abdominal ultrasonography in palace angle portion pregnancy and interstitial pregnancy. Chinese&Foreign Medical Research,2016,23(4):1475-1476.
[5]陈虹霓,刘艳婷,李丹.经腹与经阴道超声检查在异位妊娠中的诊断效果探讨.中国性科学,2015,24(11):100-103.
[6]周静,刘丹,彭莉晴.异位妊娠超声图像特点及阴道联合腹部超声诊断异位妊娠的价值.海南医学院学报,2015,21(7):1002-1004.
[7]程扬眉,王泽和,胡金花.经阴道超声结合腹部加压诊断未破裂型宫外孕价值.中华实用诊断与治疗杂志,2016,19(11):1092-1093.
[8] Zhu ZT,Sun N,Ultrasonography DO. Clinical value of transvaginal and transabdominal color doppler utrasound combined with blood HCG monitoring in diagnose ectopic pregnancy. Chinese Journal of Laboratory Diagnosis,2015,12(14):163-164.
[9]吴开明,吴雪琴,庞业小.经阴道和经腹部彩色多普勒超声联合诊断宫外孕的临床价值.海南医学,2017,27(8):1296-1298.
[10]褚树枝,燕纪林.经阴经腹彩色多普勒超声结合血人绒毛膜促性腺激素检测在宫外孕诊断中的价值.现代中西医结合杂志,2013,22(35):3900-3902.
[11]马红霞,张敏青,瞿庆红,等. TVCDS与TACDS对异位妊娠早期诊断的特异性及灵敏性分析.中国妇幼健康研究,2017,28(3):314-316.
[12]何宗珊,符尚宏,王雪峰,等.阴道超声检查诊断宫外孕的临床价值及准确性分析.现代中西医结合杂志,2015,24(9):990-992.
[13] Jin Y,Ping YE. The value of transvaginal ultrasound combined with abdominal compression in the diagnosis of small mass of ectopic pregnancy. Journal of Practical Medical Imaging,2013,238(S3):743-748.
[14]许莉华,严玮,张薏.单纯经腹部超声检查与联合经阴道超声检查对子宫腺肌病的诊断价值分析.中国性科学,2016,25(5):48-50.
[15]刘伟珂,董敏,傅鑫林.经腹部与经阴道超声诊断早期宫内外孕临床价值分析.医学影像学杂志,2016,26(11):2128-2130.
[16]韩红蓉,曲亚风,尚英英.腹部加压配合经阴道超声诊断早期异位妊娠的价值分析.中国妇幼保健,2016,31(10):2223-2224.
[17] Song Q,Liu Y,Huang C. To explore the diagnostic value of endometrial thickness?β-HCG and progesterone on differentiating ectopic pregnancy and very early pregnancy. Journal of Practical Obstetrics&Gynecology,2016,14(21):174-175.
[18] Anderson PM,Opfer EK,Busch JM,et al. An early abdominal wall ectopic pregnancy successfully treated with ultrasound guided intralesional methotrexate:A case report. Obstetrics&Gynecology International,2009,20(9):247452.
[2]林炳钦,张泽玫,钟红珠,等.经阴道超声结合腹部加压法诊断极早期宫外孕的临床价值.中国超声医学杂志,2013,29(5):443-445.
[3]高丽丽,刘晓娜,李培培.腹部超声探头联合腔内探头诊断宫外孕的价值.现代中西医结合杂志,2014,23(36):4072-4073.
[4] Ji CX. Contrast analysis of the diagnostic value of early vaginal ultrasound and abdominal ultrasonography in palace angle portion pregnancy and interstitial pregnancy. Chinese&Foreign Medical Research,2016,23(4):1475-1476.
[5]陈虹霓,刘艳婷,李丹.经腹与经阴道超声检查在异位妊娠中的诊断效果探讨.中国性科学,2015,24(11):100-103.
[6]周静,刘丹,彭莉晴.异位妊娠超声图像特点及阴道联合腹部超声诊断异位妊娠的价值.海南医学院学报,2015,21(7):1002-1004.
[7]程扬眉,王泽和,胡金花.经阴道超声结合腹部加压诊断未破裂型宫外孕价值.中华实用诊断与治疗杂志,2016,19(11):1092-1093.
[8] Zhu ZT,Sun N,Ultrasonography DO. Clinical value of transvaginal and transabdominal color doppler utrasound combined with blood HCG monitoring in diagnose ectopic pregnancy. Chinese Journal of Laboratory Diagnosis,2015,12(14):163-164.
[9]吴开明,吴雪琴,庞业小.经阴道和经腹部彩色多普勒超声联合诊断宫外孕的临床价值.海南医学,2017,27(8):1296-1298.
[10]褚树枝,燕纪林.经阴经腹彩色多普勒超声结合血人绒毛膜促性腺激素检测在宫外孕诊断中的价值.现代中西医结合杂志,2013,22(35):3900-3902.
[11]马红霞,张敏青,瞿庆红,等. TVCDS与TACDS对异位妊娠早期诊断的特异性及灵敏性分析.中国妇幼健康研究,2017,28(3):314-316.
[12]何宗珊,符尚宏,王雪峰,等.阴道超声检查诊断宫外孕的临床价值及准确性分析.现代中西医结合杂志,2015,24(9):990-992.
[13] Jin Y,Ping YE. The value of transvaginal ultrasound combined with abdominal compression in the diagnosis of small mass of ectopic pregnancy. Journal of Practical Medical Imaging,2013,238(S3):743-748.
[14]许莉华,严玮,张薏.单纯经腹部超声检查与联合经阴道超声检查对子宫腺肌病的诊断价值分析.中国性科学,2016,25(5):48-50.
[15]刘伟珂,董敏,傅鑫林.经腹部与经阴道超声诊断早期宫内外孕临床价值分析.医学影像学杂志,2016,26(11):2128-2130.
[16]韩红蓉,曲亚风,尚英英.腹部加压配合经阴道超声诊断早期异位妊娠的价值分析.中国妇幼保健,2016,31(10):2223-2224.
[17] Song Q,Liu Y,Huang C. To explore the diagnostic value of endometrial thickness?β-HCG and progesterone on differentiating ectopic pregnancy and very early pregnancy. Journal of Practical Obstetrics&Gynecology,2016,14(21):174-175.
[18] Anderson PM,Opfer EK,Busch JM,et al. An early abdominal wall ectopic pregnancy successfully treated with ultrasound guided intralesional methotrexate:A case report. Obstetrics&Gynecology International,2009,20(9):247452.