摘要
目的比较经腹与经阴道超声诊断早期异位妊娠的临床价值。方法选取滦平圣健医院2019年4月至2021年4月收治的疑似早期异位妊娠患者100例为研究对象,均行经腹超声与经阴道超声检查。以手术病理检查结果为标准,分析两种检查方式的诊断效能,比较两种检查方式的声像图表现检出率。结果经腹超声共检出早期异位妊娠59例,其中7例误诊,10例漏诊;经阴道超声共检出早期异位妊娠60例,其中1例误诊,3例漏诊。经阴道超声诊断早期异位妊娠的灵敏度、特异度、准确度分别为95.2%、97.4%、96.0%,均高于经腹超声的83.9%、81.6%、83.0%(χ^(2)=4.21、5.03、8.99,P=0.040、0.025、0.003)。经阴道超声声像图表现为附件包块、卵黄囊、胚芽、宫内假孕囊、盆腔积液、原始血管波动的检出率分别为88.7%、50.0%、24.2%、22.6%、12.9%、87.1%,均高于经腹超声检查的64.5%、19.4%、4.8%、4.8%、1.6%、56.5%(χ^(2)=10.13、12.85、9.36、8.25、5.87、14.37,P=0.001、<0.001、0.002、0.004、0.015、<0.001)。结论经阴道超声诊断早期异位妊娠的临床价值明显优于经腹超声检查,可提高声像图表现检出率。
Objective To investigate the clinical value of transabdominal ultrasonography versus transvaginal ultrasonography in the early diagnosis of ectopic pregnancy.Methods A total of 100 patients with suspected early ectopic pregnancy who received treatment in Luanping Shengjian Hospital between April 2019 and April 2021 were included in this study.All of them underwent transabdominal and transvaginal ultrasonography.Surgical pathological results were used as the gold standard to analyze the diagnostic efficacy of the two examination methods.The detection rate of ectopic pregnancy by ultrasonography was compared between the two examination methods.Results Early ectopic pregnancy was detected in 59 cases by transabdominal ultrasonography,among which seven cases were misdiagnosed and 10 cases were missed.Early ectopic pregnancy was detected in 60 cases by transvaginal ultrasonography,among which one case was misdiagnosed and three cases were missed.The sensitivity,specificity and accuracy of transvaginal ultrasonography in the early detection of ectopic pregnancy were 95.2%,97.4%and 96.0%,respectively,which were significantly higher than those of transabdominal ultrasonography(83.9%,81.6%,83.0%,χ^(2)=4.21,5.03,8.99,P=0.040,0.025,0.003).Transvaginal ultrasonography showed that detection rates of accessory mass,yolk sac,embryo,intrauterine pseudopregnancy sac,pelvic effusion and original vascular fluctuation were 88.7%,50.0%,24.2%,22.6%,12.9%,87.1%,respectively,which were significantly higher than those of transabdominal ultrasonography(64.5%,19.4%,4.8%,4.8%,1.6%,56.5%,χ^(2)=10.13,12.85,9.36,8.25,5.87,14.37,P=0.001,<0.001,=0.002,=0.004,=0.015,<0.001).Conclusion Transvaginal ultrasonography is superior to transabdominal ultrasonography in the early detection of ectopic pregnancy and has a higher detection rate of sonographic manifestation than transabdominal ultrasonography.
作者
高明学
Gao Mingxue(Department of Ultrasonography,Luanping Shengjian Hospital,Chengde 068250,Hebei Province,Chin)
出处
《中国基层医药》
CAS
2022年第7期1059-1062,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
妊娠
异位
超声检查
腔内超声检查
诊断
诊断显像
对比敏感度
敏感性与特异性
Pregnancy,ectopic
Ultrasonography
Endosonography
Diagnosis
Diagnostic imaging
Contrast sensitivity
Sensitivity and specificity
