摘要
目的探讨影响妇科超声检查出现可疑盆腔积液或附件囊肿的因素。方法选取2015年4月12日~2017年4月12日就诊的250例妇科疾病患者为实验对象,且均实施腹部超声联合阴道超声检查,随后分为无可疑诊断患者、可疑诊断患者,对比两组患者各项资料,随后分析超声诊断的价值性。结果从影响因素角度分析,发现年龄、体型、婚姻、受检者来源、子宫体位、机型均不会成为影响因素,而膀胱充盈度、肠管扩张情况可作为影响超声诊断结果的主要因素。可疑诊断患者主要表现为存在肠管扩张,占98.00%;不够充盈,占45.00%;过度充盈,占41.00%,以上数据与无可疑诊断患者相比,差异有统计学意义(P<0.05)。从超声诊断价值性角度分析,超声检查在盆腔积液和附件囊肿患者中,特异性、敏感性、漏诊率、误诊率分别为93.33%、97.65%、2.35%、6.67%。同时从Logistic角度分析,肠管扩张[P值:0000;OR(95%CI):0.843(0.546~1.258);Sig:0.007;Wald:8.458;SE:0.258;标准误:3.467]、膀胱充盈度[P值:0000;OR(95%CI):0.524(0.365~0.865);Sig:0.054;Wald:6.324;SE:0.695;标准误:3.129]均属于判断患者病情进展可疑因素。结论妇科超声检查在可疑盆腔积液和附件囊肿患者中虽具有较高的诊断价值性,但容易受到膀胱充盈度、肠管扩张情况的影响。
Objective To analyze the factors influencing the occurrence of suspicious pelvic fluid or adnexal cyst in gynecological uhrasonography. Methods From April 12, 2015 to April 12, 2017, 250 cases of gynecological diseases were selected as the study subjects, and were all given abdominal ultrasound combined with vaginal ultrasound. Afterwards, the patients were divided into unsuspicious patients and suspicious patients. The data were compared between the two groups, and then the value of ultrasound diagnosis was analyzed. Results From the perspective of influencing factors, it could be found that age, physical size, marriage, subject source, uterine position, model were not influencing factors, but bladder filling degree, and intestinal dilatation could be used as the main factor affecting the results of ul- trasound diagnosis. Suspected patients mainly showed the presence of intestinal dilation, with the proportion of 98.00%, insufficient filling, accounting for 45.00%, and over-filling, accounting for 41.00%. The above datas were significantly different from those in unsuspicious patients（P〈O,05）. From the perspective of diagnostic value of ultrasound, the speci- ficity, sensitivity, missed diagnosis rate and misdiagnosis rate of ultrasound examination in the patients with pelvic fluid and adnexal cyst were 93.33%, 97.65%, 2.35% and 6.67% respectively. At the same time, from the perspective of Logistics analysis, intestinal dilatation [P=0000; OR（95% CI）： 0.843 （0.546-1.258）; Sig： 0.007;Wald： 8.458; SE： 0.258; standard error： 3.467], and bladder filling degree[P=0.0000; OR （95% C/）： 0.524 （0.365-0.865）; Sig： 0.054; Wald： 6.324; SE： 0.695; standard error： 3,129] both belonged to the suspicious factors determining patient＇s disease progression. Conclusion Gynecological ultrasonography has a relatively high diagnostic value in the patients with suspicious pelvic fluid and adnexal cysts, but is susceptible to the influences of bladder filling and intestinal dilatation.
出处
《中国现代医生》
2018年第1期12-14,共3页
China Modern Doctor
关键词
妇科超声
盆腔积液
附件囊肿
影响因素
Gynecological ultrasonography
Pelvic fluid
Adnexal cyst
Influencing factors
