摘要
目的:探讨早期异位妊娠采用经阴道三维超声联合断层超声显像技术诊断的准确性。方法:选择停经4~6周的130例疑似异位妊娠患者,所有患者均接受腹部三维超声检查、阴道三维超声检查、断层超声显像检查,分析腹部超声、阴道三维超声、断层超声显像的声像图。以手术病理及临床随访结果作为确诊标准,计算腹部超声、阴道三维超声、断层超声显像对早期异位妊娠的诊断灵敏度、特异度、准确性,并比较腹部超声、阴道三维超声、断层超声显像对不同类型异位妊娠的诊断符合率。采用Kappa一致性检验,分析腹部超声、阴道三维超声、断层超声显像诊断结果与手术病理及临床随访结果之间的一致性。结果:断层超声显像、阴道三维超声的诊断灵敏度、特异度、准确性均高于腹部超声诊断结果(P<0.05),而断层超声显像与阴道三维超声的诊断灵敏度、特异度、准确性比较差异均无统计学意义(P>0.05)。经Kappa一致性检验分析,腹部超声、阴道三维超声、断层超声显像诊断结果与手术病理及临床随访结果之间的一致性Kappa值分别为0.514、0.723、0.748。断层超声显像、阴道三维超声对输卵管妊娠、剖宫产后瘢痕妊娠的诊断符合率均高于腹部超声(P<0.05),而断层超声显像与阴道三维超声的诊断符合率比较差异无统计学意义(P>0.05)。结论:在早期异位妊娠诊断中,采用断层超声显像、阴道三维超声均具有显著的诊断价值,临床上可采取断层超声显像与阴道三维超声联合诊断,以进一步提高其诊断准确性。
Objective:To study and discuss the accuracy of early ectopic pregnancy transvaginal three-dimensional ultrasound combined with tomographic ultrasound imaging diagnosis.Methods:130 cases of suspected ectopic pregnancy patients,underwent abdominal three-dimensional ultrasound,transvaginal three-dimensional ultrasonography tomographic ultrasound imaging,analysis,abdominal ultrasound,transvaginal three-dimensional ultrasound,sonographic tomographic ultrasound imaging.Surgical pathology and clinical follow-up results were calculated as standard,abdominal ultrasound,transvaginal three-dimensional ultrasound,the accuracy of tomographic ultrasound imaging in early diagnosis of ectopic pregnancy,sensitivity,specificity,and abdominal ultrasound,transvaginal three-dimensional ultrasound,tomographic ultrasound imaging in diagnosing different types of ectopic pregnancy.The Kappa consistency test,analysis of abdominal ultrasound,transvaginal three-dimensional super the sound consistency between tomographic ultrasound imaging diagnosis and surgical pathology and clinical follow-up results.Results:Tomographic ultrasound imaging,the diagnostic sensitivity and specificity of three-dimensional transvaginal ultrasound,the accuracy is higher than that of abdominal ultrasound diagnosis(P<0.05),and the diagnostic sensitivity of tomographic ultrasound imaging and transvaginal three-dimensional ultrasound specificity and accuracy were compared no statistical significance(P>0.05).The Kappa consistency test analysis,abdominal ultrasound,transvaginal three-dimensional ultrasound,the consistency between Kappa tomographic ultrasound imaging diagnosis results and surgical pathology and clinical follow-up results were 0.514,0.723,0.748.tomographic ultrasound imaging,three-dimensional transvaginal ultrasound for tubal pregnancy,cesarean section rate was higher than that of abdominal ultrasound diagnosis with postpartum scar pregnancy(P<0.05),and the diagnosis of tomographic ultrasound imaging and transvaginal three-dimensional ultrasound coincidence rate was no statistical significance(P>0.05).Conclusion:In the early diagnosis of ectopic pregnancy,the use of tomographic ultrasound and three-dimensional ultrasound of vagina has significant diagnostic value.Clinically,the combination of tomographic ultrasound and three-dimensional ultrasound can be used to further improve the accuracy of diagnosis.
作者
陈志妍
彭巍炜
黄伟俊
Chen Zhiyan;Peng Weiwei;Huang Weijun(Ultrasonic Diagnosis and Treatment Center of the First People’s Hospital of Foshan City in Guangdong Province(Foshan 528000))
出处
《陕西医学杂志》
CAS
2018年第8期990-993,共4页
Shaanxi Medical Journal
关键词
妊娠
异位/诊断
超声检查/方法
@阴道三维超声
@断层超声显像
Pregnancy,ectopic/diagnosis
Ultrasonography/methods
@Three-dimensional transvaginal ultrasound
@Faulting ultrasound imaging
