摘要
目的探讨经阴道彩色多普勒超声(TVCDS)与经腹部彩色多普勒超声(TACDS)诊断早期异位妊娠的临床价值。方法选取2014年1月至2015年12月在温岭市第一人民医院超声科接受TVCDS和TACDS检查的怀疑为异位妊娠妇女187例进行回顾性分析,以手术及临床最终确诊结果为金标准,分析TVCDS和TACDS诊断异位妊娠的诊断学价值。结果 TVCDS对宫内无孕囊、附件区包块、宫外孕囊可见胎心和胚芽、原始心管搏动、子宫直肠窝积液的检出率均显著高于TACDS,差异均有统计学意义(χ~2值分别为6.153、21.000、19.941、11.304、12.039,均P<0.05);121例确诊异位妊娠患者和66例宫内妊娠患者的TVCDS血流图像显示,异位妊娠患者的子宫动脉血流阻力指数(RI)、螺旋动脉RI、滋养动脉RI值均显著高于宫内妊娠患者,差异均有统计学意义(t值分别为13.381、28.845、19.001,均P<0.05);TVCDS诊断异位妊娠的灵敏度为96.69%、特异度为90.91%、漏诊率为3.31%、误诊率为9.09%;TACDS诊断异位妊娠的灵敏度为78.51%、特异度为72.73%、漏诊率为21.49%、误诊率为27.27%。结论 TVCDS诊断早期异位妊娠的临床价值优于TACDS。
Objective To investigate the clinical value of transvaginal color Doppler sonography（ TVCDS） and transabdominal color Doppler sonography（ TACDS） in the diagnosis of early ectopic pregnancy. Methods Retrospective study was conducted on 187 cases of suspected ectopic pregnancy examined by TVCDS or TACDS in department of ultrasound in Wenling First People＇s Hospital from January2014 to December 2015. Operation and clinical final diagnosis results were taken as gold standard to analyze the clinical value of two kinds in the diagnosis of ectopic pregnancy. Results Compared to TACDS,TVCDS obtained higher detection rate of intrauterine gestational sac,adnexal masses,visible fetal heart and germ in ectopic pregnancy sac,primitive heart beat,and uterine rectum fossa fluid,and the differences were statistically significant（ χ~2value was 6. 153,21. 000,19. 941,11. 304 and 12. 039,respectively,all P〈 0. 05）. TVCDS blood flow images of 121 cases of ectopic pregnancy and 66 cases of intrauterine pregnancy revealed that uterine artery RI,spiral artery RI and nutrient artery RI values were significantly higher in cases of ectopic pregnancy than those in cases of intrauterine pregnancy（ t value was 13. 381,28. 845 and 19. 001,respectively,all P 〈0. 05）. The sensitivity and specificity of TVCDS in diagnosis of ectopic pregnancy was 96. 69% and 90. 91%,respectively,and the missed diagnosis rate and misdiagnosis rate was 3. 31% and 9. 09%,respectively. The sensitivity,specificity,missed diagnosis rate and misdiagnosis rate of TACDS in diagnosis of ectopic pregnancy was 78. 51%,72. 73%,21. 49% and 27. 27%,respectively. Conclusion The clinical value of TVCDS in diagnosis of early ectopic pregnancy is better than TACDS.
出处
《中国妇幼健康研究》
2017年第3期314-316,共3页
Chinese Journal of Woman and Child Health Research
关键词
经阴道彩色多普勒超声
经腹部彩色多普勒超声
诊断
异位妊娠
transvaginal color Doppler sonography（TVCDS）
transabdominal color Doppler sonography（TACDS）
diagnosis
ectopic pregnancy
