Value of Trans vaginal Color Doppler Ultrasound in the Differential Diagnosis of Ectopic Pregnancy Rupture and Corpus Luteum Rupture
Objective To study the value of transvaginal color Doppler ultrasound in the differential diagnosis of ectopic pregnancy rupture and corpus luteum rupture.Methods From July 2020 to December 2022,42 patients with ectopic pregnancy rupture and 42 patients with corpus luteum rupture diagnosed and treated in our hospital were selected as the research objects.All patients were examined by vaginal color Doppler ultrasound.The diagnostic efficacy(sensitivity,specificity),ultrasound signs(mass diameter,pelvic effusion,blood flow parameters,blood flow spectrum performance,blood flow signal morphology)of vaginal ultrasound in patients with ectopic pregnancy rupture and corpus luteum rupture were observed,and the accuracy of vaginal color Doppler ultrasound in the diagnosis of ectopic pregnancy rupture and ovarian corpus luteum rupture was consistent with the pathological results.Results There was no significant difference in sensitivity and specificity between transvaginal ultrasound and ovarian corpus luteum rupture in the diagnosis of ectopic pregnancy rupture(P>0.05).There was no significant difference in tumor diameter and incidence of pelvic effusion between patients with ectopic pregnancy rupture and patients with ovarian corpus luteum rupture(P>0.05).There were significant differences in blood flow parameters,blood flow spectrum and blood flow signal morphology between patients with ectopic pregnancy rupture and patients with ovarian corpus luteum rupture(P<0.05).The accuracy of transvaginal color Doppler ultrasound in the diagnosis of ectopic pregnancy rupture and ovarian corpus luteum rupture is highly consistent with the pathological results.Conclusion Transvaginal color Doppler ultrasound has a high value in the differential diagnosis of ectopic pregnancy rupture and corpus luteum rupture.The two have different ultrasound sonograms and blood flow characteristics.
Transvaginal color Doppler ultrasoundEctopic pregnancy ruptureCorpus luteum rupture