摘要
目的:分析经阴道彩色多普勒超声检测卵巢黄体血流分级对输卵管妊娠药物治疗效果预测价值。方法:选择2016年1月-2018年12月本院收治的输卵管妊娠药物治疗患者123例,经阴道彩色多普勒超声检测卵巢黄体血流分级分组,0级组、1级组、2级组及3级组,比较组间药物治疗后不同时间血βhCG、输卵管妊娠包块下降情况及药物疗效。结果:各组治疗前血βhCG及输卵管妊娠包块平均直径无差异(P>0.05);治疗后第1、5、7、14d血βhCG下降幅度2级组和3级组均小于0级组和1级组(P<0.05),0级组与1级组比较无差异(P>0.05);治疗后第5、7、14d输卵管妊娠包块平均直径下降幅度2级组和3级组均小于0级组和1级组(P<0.05),0级组与1级组比较无差异(P>0.05);药物治疗有效率3级组最低(P<0.05),0级组、1级组与2级组无差异(P>0.05);治疗有效患者包块消失及血βhCG降至正常时间3级组最大(P<0.05),0级组与1级组无差异(P>0.05)。结论:应用经阴道彩色多普勒超声检测卵巢黄体血流可以预测输卵管妊娠药物治疗效果,卵巢黄体血流分级较高者,治疗时间会延长,疗效较差。
Objective:To analyze the value of luteum blood classification by transvaginal color doppler ultrasound for predicting the effect of drug treatment of women with tubal pregnancy.Methods;123 women with tubal pregnancy by drug therapy were selected as the study subjects from January 2016 to December 2016,and the women were divided into group grade 0,group grade 1,group grade 2,and group grade 3 according to luteal blood classification detected by transvaginal color doppler ultrasonography.The levels of bloodβHCG and tubal pregnancy mass changes at different times of women after drug treatment were compared among the four groups.Results:There were no significant difference in bloodβhCG level and the mean diameter of tubal pregnancy mass before treatment among the four groups(P>0.05).On the 1st,5th,7th,and 14th day after treatment,the decreased degree ofβhCG level of women in group grade 2 and group grade 3 was significant less than that of women in group grade 0 and group grade 1(P<0.05),but there was no significant difference in the decreased degree ofβhCG level of women between group grade 0 and group grade 1(P>0.05).On the5th,7th,and 14th day after treatment,the decreased degree of the diameter of fallopian tube pregnancy mass of women in group grade 2 and group grade 3 was significant less than that of women in group grade 0 and group grade 1(P<0.05),but there was no significant difference in the decreased degree of the diameter of fallopian tube pregnancy mass of women between group grade 0 and group grade 1(P>0.05).The effective rate of women in group grade 3 was the lowest(P<0.05),but there was no significant difference in the effective rate of women among the other three groups(P<0.05).The time of the mass disappearance or the time of bloodβhCG retured to normal level of women in group grade 3 was the longest(P<0.05),but those of women in group grade 0 had no significant different to those of women in group grade 1(P<0.05).Conclusion:luteum blood classification by transvaginal color doppler ultrasound ca
作者
邢丽丽
黄蕾
赵白信
焦方杰
XING Lili;HUANG Lei;ZHAO Baixin;JIAO Fangjie(The 7th People's Hospital of Zhengzhou City,Henan Province,450000)
出处
《中国计划生育学杂志》
2019年第11期1522-1525,共4页
Chinese Journal of Family Planning
关键词
输卵管妊娠
超声
卵巢黄体血流
预测价值
Tubal pregnancy
Ultrasound
Blood flow of luteum
Predicting value
