[1]钟李璐*,刘科科.经阴道彩色多普勒超声诊断及鉴别诊断宫外孕的临床价值[J].中国计划生育和妇产科,2018,(１):50-53.
　ZHONG Li-lu*,LIU Ke-ke.Clinical value of transvaginal color Doppler ultrasound in the diagnosis and differential diagnosis of ectopic pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2018,(１):50-53.
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经阴道彩色多普勒超声诊断及鉴别诊断宫外孕的临床价值
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年１期
页码:
50-53
栏目:
论著与临床
出版日期:
2018-01-25

文章信息/Info

Title:
Clinical value of transvaginal color Doppler ultrasound in the diagnosis and differential diagnosis of ectopic pregnancy
作者:
钟李璐1*; 刘科科2
1.518000广东深圳，深圳市龙华区人民医院超声科；2.518001广东深圳，深圳市职业病防治院
Author(s):
ZHONG Li-lu1*;  LIU Ke-ke2
1.Department of Ultrasound, the People 's Hospital of Longhua New District, Shenzhen Guangdong 518000,P.R.China;2.Shenzhen Occupational Disease Prevention and Control Hospital, Shenzhen Guangdong 518001,P.R.China.
关键词:
宫外孕; 诊断; 鉴别; 经阴道彩色多普勒超声; 经腹部彩色多普勒超声
Keywords:
ectopic pregnancy;  diagnosis;  differential;  transvaginal color Doppler ultrasound;  abdominal color Doppler ultrasound
分类号:
R 714.22
摘要:
目的探讨经阴道彩色多普勒超声（transvaginal color Doppler sonography ，TVCDS）检查对宫外孕（ectopic pregnancy ，EP）的临床诊断鉴别价值。方法回顾性分析2016年3月至7月深圳市龙华区人民医院112例经手术或病理活检证实为EP患者的临床资料，早期经TVCDS及经腹部彩色多普勒超声（transabdominal color Doppler sonography，TACDS）检查，比较两种检查手段的超声表现与诊断效能。结果① TVCDS对未破裂型EP的诊断率及EP总诊断率分别为9344 %、9554 %，均显著高于TACDS的7049 %、8214 %（P<005）；② TVCDS组≤2 cm孕囊检出率为9231 %，显著高于TACDS的6538 %（P<005），而对于>2 cm孕囊检查，两种方法的检出率比较差异无统计学意义(P>005)；③ TVCDS对附件包块、胎芽、卵黄囊及宫内假孕囊的检出率依次为9554 %、3304 %、4643 %、4107 %，均显著高于TACDS的8214 %、1161 %、1964 %、1607 %（P<005）；④ TVCDS对宫颈妊娠及宫角妊娠的检出率均为10000 %，显著高于TACDS的5000 %、5556 %（P<005）；两组腹膜妊娠、卵巢妊娠及输卵管妊娠的检出率比较差异无统计学意义（P>005）。结论TVCDS能够清晰显示EP孕囊细节，早期诊断鉴别准确可靠，值得临床推广应用。
Abstract:
ObjectiveTo investigate the value of transvaginal color Doppler sonography (TVCDS) in the differential diagnosis of ectopic pregnancy (EP).MethodsThe clinical data of 112 EP cases confirmed by surgery or biopsy from March 2016 to July 2016 in the People 's Hospital of Longhua New District were retrospectively analyzed,early by TVCDS and transabdominal color Doppler ultrasound(TACDS) examination,compared ultrasonic manifestations and diagnostic efficacy of two kinds of inspection methods. Results① The diagnostic rate of the non ruptured EP and the total diagnostic rate of EP by TVCDS were 9344% and 9554% respectively, which were significantly higher than those of 7049% and 8214% by TACDS respectively(P<005). ② The detection rate of gestational sac≤2cm in TVCDS group was 9231%, which was significantly higher than that of TACDS group 6538% (P<005), while there was no significant difference in the detection rate between two methods for gestational sac>2cm (P>005). ③ The detection rate of adnexal mass, fetal bud, yolk sac and intrauterine gestational sac by TVCDS were 9554%, 3304%, 4643%, 4107% respectively, which were significantly higher than that of 8214%, 1161%, 1964%, 1607% by TACDS(P<005). ④ The detection rate of cervical pregnancy and cornual pregnancy rate were 100% by TVCDS, significantly higher than 50% and 5556% by TACDS(P<005). There were no significant differences in the detection rates of peritoneal pregnancy, ovarian pregnancy and tubal pregnancy between the two groups(P>005). ConclusionTVCDS can clearly show the details of EP gestational sac, early diagnosis and accurate and reliable, it is worthy of clinical application.

参考文献/References:

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更新日期/Last Update: 2018-01-25