摘要
目的:分析腹部超声(TAS)、阴道超声(TVS)诊断宫颈妊娠价值。方法:选取本院门诊疑似宫颈异位妊娠患者80例纳入分析,其中单独TAS检测26例,单独TVS检测28例,TAS联合TVS检测26例。以病理检查为确诊依据。比较不同超声检测诊断宫颈妊娠效果及误漏诊病例特征。结果:TAS联合TVS检测检出率最高(90.9%),TVS(76.0%)次之,TAS最低(65.2%)。TAS诊断漏诊与病例子宫直肠陷窝液性暗区显示不足以及腹腔内移动性液性暗区显示率低有关,TVS漏诊与误诊主要为患者有腹腔积液或检查者对已破裂型异位妊娠估测出血量不足。ROC曲线分析提示,ROC曲线下面积TAS联合TVS为0.778,TVS为0.648,TAS为0.611。结论:TVS联合TAS检测宫颈异位妊娠诊断检出正确率较高,可较好减低漏诊,为临床提供快速准确的检查依据。
Objective: To analyze the value of transabdomen ultrasound(TAS) and transvaginal ultrasonography(TVS) for diagnosing cervical ectopic pregnancy. Methods: 80 patients with suspected cervical ectopic pregnancy were selected for analysis, among which, 26 women were examinated by TAS alone, 28 women were examinated by TVS alone, and 26 women were examinated by TAS combined with TVS. The pathological examination result was as the gold standard of diagnosis, the effect of diagnosing cervical ectopic pregnancy and the characteristics of misdiagnosis and missed diagnosis were compared between TAS and TVS. Results: TAS combined with TVS had the highest detection rate(90.9%), followed by TVS(76.0%), and TAS had the lowest detection rate(65.2%). The missed diagnosis of TAS was associated with insufficient display of liquid dark area in uterine and rectal lacunae, and low display rate of fluid dark area in intra-abdominal mobility. The missed diagnosis and misdiagnosis of TVS were mainly caused by patients with peritoneal effusion or by inadequate estimated blood loss in patients with ruptured ectopic pregnancy. ROC curve analysis showed that the area under the ROC curve of TAS combined with TVS, TAS alone, or TVS alon for diagnosing cervical ectopic pregnancy were 0.778, 0.648 and 0.611, respectively. Conclusion:TVS combined with TAS for diagnosing cervical ectopic pregnancy has high accuracy rate, which can decrease the rate of missed diagnosis, and can provide fast and accurate data for supporting clinical practice.
作者
陈雨骤
周俊宇
CHEN Yuzhou;ZHOU Junyu(Chongming branch of Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,202150)
出处
《中国计划生育学杂志》
2020年第10期1621-1623,1724,共4页
Chinese Journal of Family Planning
关键词
宫颈异位妊娠
腹部超声
阴道超声
诊断效果
Cervical ectopic pregnancy
Transabdomen ultrasound(TAS)
Transvaginal ultrasonography(TVS)
Diagnosis efficacy
