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阴式腔内彩超在鉴别诊断异位妊娠中的作用分析

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目的:探讨阴式腔内彩超在鉴别诊断异位妊娠中的临床应用价值.方法:选取 2021 年 1 月至 2023 年 1 月于我院就诊的 48 例疑似异位妊娠患者为研究对象,以手术或病理活检结果为"金标准",分析经阴道彩色多普勒超声诊断结果及诊断效能.观察异位妊娠患者子宫动脉、滋养动脉血流、螺旋动脉阻力指数(Arterial resistance index,RI).结果:经阴道彩色多普勒超声诊断灵敏度、准确率分别为 93.33%、91.67%,漏诊率为6.67%.经阴道彩色多普勒超声检测出异位妊娠子宫动脉 45 例、螺旋动脉 28 例、滋养动脉 17 例,不同RI值检测结果比较,差异显著(P<0.05).结论:经阴道彩色多普勒超声检测诊断灵敏度较高,漏诊率较低.
Analysis of the role of intracavitary color ultrasound in the differential diagnosis of ectopic pregnancy
Objective:To investigate the clinical value of intracavitary color ultrasound in differential diagnosis of ectopic pregnancy.Methods:48 patients with suspected ectopic pregnancy treated in our hospital from January 2021 to January 2023 were selected as the research objects,and the results of surgery or pathological biopsy were taken as the"gold standard"to analyze the diagnostic results and diagnostic efficacy of transvaginal color Doppler ultrasound.The Arterial blood flow of uterine artery,nourishing artery and spiral artery resistance index(RI)of ectopic pregnancy patients were observed.Results:The diagnostic sensitivity and accuracy of transvaginal color Doppler ultrasound were 93.33%and 91.67%,respectively,and the missed diagnosis rate was 6.67%.There were 45 cases of uterine artery,28 cases of spiral artery and 17 cases of nutrient artery detected by transvaginal color Doppler ultrasonography.There were significant differences among different RI values(P<0.05).Conclusion:Transvaginal color Doppler ultrasonography has high diagnostic sensitivity and low rate of missed diagnosis.

Transvaginal color Doppler ultrasoundEctopic pregnancyDifferential diagnosis

高廷廷、谭伟霞、程梅、孙晓华

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郑州大桥医院超声科,河南 郑州 450000

经阴道彩色多普勒超声 异位妊娠 鉴别诊断

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(6)