摘要
目的:探讨高频彩超在宫外孕早期诊断中的价值。方法:临床诊断的宫外孕患者50例,经超声、血清孕酮检查,手术及病理证实。结果:超声发现附件包块48例,诊断宫外孕45例,超声诊断的敏感性为89.5%、特异性92.5%、阳性预测值43.2%、阴性预测值98.8%。50例宫外孕患者中,孕酮<10ng/ml者24例,敏感性、特异性、阳性预测值和阴性预测值分别为52.5%、67.5%、26.2%、91.2%。高频彩超对早期宫外孕诊断的敏感性较血清孕酮高(P<0.01)。结论:高频彩超可以早期确诊宫外孕,指导临床治疗,改善其预后。
Objective：To explore the value of high frequency and color doppler uhrasound in early diagnosis of ectopic pregnancy.Methods：50 cases of ectopic pregnancy were diagnosised by ultrasound, serum progesterone and confirmed by surgery and pathology.Results：The ultrasound found 48 cases of adnexal masses, 45 eases diagnosed with ectopic pregnancy, The ultrasonic diagnostic sensitivity, specificity, positive predictive value and negative predictive values were 89.5%, 92.5%, 43.2%, 98.8%.Among 50 cases of ectopic pregnancy patients, progesterone〈10 ng/ml in 24 cases, the sensitivity, specificity, positive predictive value and negative predictive values were 52.5%, 67.5%, 26.2%, 91.2%.The sensitivity of high frequency color doppler for the diagnosis of early ectopic pregnancy was higher than the serum progesterone（P〈0.01）.Conclusion ：High frequency color doppler ultrasound in the early diagnosis of ectopic pregnancy can guide clinical treatment and improve the prognosis.
出处
《中国医学创新》
CAS
2012年第13期95-96,共2页
Medical Innovation of China
关键词
宫外孕
高频
彩色多普勒
孕酮
Ectopic pregnancy
High frequency ultrasound
Color doppler
Progesterone
