摘要
目的:分析宫外孕与妊娠黄体囊肿的阴道及腹部超声检查结果.方法:选取2020年12月—2021年12月商丘市第一人民医院收治的64例宫外孕患者和36例妊娠黄体囊肿患者作为研究对象,所有患者均行阴道及腹部超声检查.比较宫外孕及妊娠黄体囊肿患者超声影像学结果.结果:宫外孕组患者RI值和高回声占比高于妊娠黄体囊肿组患者,低回声占比低于妊娠黄体囊肿患者,差异有统计学意义(t=32.149;χ2=24.757,P＜0.05);宫外孕组患者极低阻力发生率高于妊娠黄体囊肿组患者,低阻力和高阻力发生率低于妊娠黄体囊肿组患者,差异有统计学意义(χ2=18.688、4.383、5.563,P＜0.05);宫外孕组患者点状血流和条状血流占比高于妊娠黄体囊肿组患者,环状及半环状血流占比低于妊娠黄体囊肿组患者,差异有统计学意义(χ2=16.744、18.077、5.806、45.370,P＜0.05).结论:经阴道及腹部超声检查可通过对血流指数、回声、血流分布以及血流频谱形态的差异鉴别宫外孕和妊娠黄体囊肿,以进行及时的鉴别诊断,予以针对性的治疗措施.
Abstract
Objective:To analyze vaginal and abdominal ultrasound findings in ectopic pregnancy and gestational luteal cyst.Methods:64 patients with ectopic pregnancy and 36 patients with gestational luteal cyst admitted to the hospital from December 2020 to December 2021 were selected for the study,and all patients underwent vaginal and abdominal ultrasonography.The ultrasonographic findings of patients with ectopic pregnancy and gestational luteal cyst were compared.Results:The RI values and percentage of hyperechoicity were higher in patients in the ectopic pregnancy group than in patients in the gestational luteal cyst group,and the percentage of hypoechoicity was lower than that in patients with gestational luteal cysts.The difference was statistically significant(t=32.149;χ2=24.757,P＜0.05).The incidence of very low resistance was higher in patients in the ectopic pregnancy group than the gestational luteal cyst group,the incidence of low and high resistance was lower than in patients in the gestational luteal cyst group,and the difference was statistically significant(χ2=18.688,4.383,5.563,P＜0.05).The percentage of punctate and striated blood flow was higher in patients in the ectopic pregnancy group than the gestational luteal cyst group,the percentage of circumferential and semi-circumferential blood flow was lower than in patients in the gestational luteal cyst group,and the difference was statistically significant(χ2=16.744,18.077,5.806,45.370,P＜0.05).Conclusion:Transvaginal and abdominal ultrasonography can identify ectopic pregnancy and gestational corpus luteum cysts by differences in blood flow indices,echogenicity,blood flow distribution,and spectral patterns of blood flow,in order to make timely differential diagnosis and provide targeted treatment.
维普
万方数据