Analysis of diagnostic value of vaginal ultrasound combined with abdominal ultrasound in distinguishing ectopic pregnancy from luteal cysts in pregnancy
Objective To analyze the diagnostic value of vaginal ultrasound combined with abdominal ultrasound in ectopic pregnancy and luteal cysts during pregnancy.Methods 78 patients with ectopic pregnancy and 80 patients with gestational luteal cysts who were diagnosed and treated in our hospital were selected as the study subjects.Both groups received abdominal ultrasound and vaginal ultrasound,and the results and blood flow distribution under ultrasound were compared between the two groups.Results In terms of ring wall echo,there were 68 cases of high echo and 10 cases of low echo in the control group,and 18 cases of high echo and 62 cases of low echo in the observation group.The difference in ring wall echo between the two groups was statistically significant(P<0.05).There was no statistically significant difference in the thickness of the ring wall and the size of the mass between the two groups(P>0.05).The RI of the control group was higher than that of the observation group(P<0.05).The distribution of short tubular,circular,and semi circular blood flow in the observation group was higher than that in the control group,while the distribution of star shaped and non blood flow was lower than that in the control group(P<0.05).The blood flow richness rate of the observation group was 88.75%(71/80),which was higher than the control group's 19.23%(15/78),and the difference was statistically significant(P<0.05).Conclusion Ectopic pregnancy and pregnancy corpus luteum cyst have characteristic image changes under the combination of vaginal ultrasound and abdominal ultrasound.Analyzing the blood flow distribution and various examination results under ultrasound is helpful for differential diagnosis.
Vaginal ultrasoundAbdominal ultrasoundEctopic pregnancyPregnant corpus luteum cyst