摘要
目的探讨经阴道彩色多普勒超声(TVCDS)结合血β-HCG监测对宫外孕早期诊断的应用价值。方法对106例血β-HCG阳性、可疑为早期宫外孕的患者分别作血β-HCG定量测定及经腹部超声(TAS)和TVCDS检查,记录血β-HCG值及超声图象、彩色血流特点与阻力指数。结果(1)经TAS初次确诊宫外孕88例,待诊18例,诊断符合率83.02%;经TVCDS初次确诊宫外孕101例,待诊5例,诊断符合率95.28%。2种超声检测方法诊断符合率比较,差异有统计学意义(P<0.01)。(2)血β-HCG动态监测结合TVCDS复诊5例,确诊宫外孕4例,宫内早孕1例,诊断符合率为100%。结论TVCDS结合血β-HCG监测对宫外孕早期诊断准确率高,为宫外孕早期诊断的首选方法。
Objective To assess clinical value of early diagnose of ectopic pregnancy （EP） using transvaginal color doppler ultrasound （TVCDS） combining with serum β-HCG monitoring. Methods In 106 patients with positive serum β-HCG and suspected earlier period of EP who admitted in Hubei provincial people＇s hospital,serum β-HCG was quantitatively detected and dynamically monitored, and TVCDS and transabdominal ultrasound （TAS） were examined. The images of EP, features of color blood flow and resistant index were analyzed. Results Of 106 patients with EP,88 patients were first diagnosed,and 18 patients were misdiagnesed by TAS. The coincidental rate of TAS was 83.02%. One hundred and one of 106 patients were first diagnosed and 5 patients were awaiting diagnosed by TVCDS. The coincidental rate of TVCDS was 95.28%. Coincidental rates of TVCDS and TAS had significant difference （95.28% vs 83.02% ,P〈0. 01）. Five patients with awaiting diagnosis by TVCDS were second checked by TVCDS combining with serum β-HCG. In them,4 patients were confirmed as EP,and 1 patient was identified as early intrauterine pregnancy. The coincidental rate of TVCDS was 100%. Conclusions TVCDS combining with serum β-HCG monitoring has higher accuracy rate of early diagnosis for EP. It is the first-line method to be chosen for early diagnosis of EP.
出处
《中国临床研究》
CAS
2010年第2期101-103,F0002,共4页
Chinese Journal of Clinical Research
关键词
经阴道彩色多普勒超声
经腹部超声
宫外孕
Β-HCG
Transvaginal color doppler ultrasound
Transabdominal ultrasound
Ectopic pregnancy
Hormone, betachorionic gonadotropin
