首页|未破裂型输卵管妊娠与妊娠黄体囊肿的超声图像特征比较

未破裂型输卵管妊娠与妊娠黄体囊肿的超声图像特征比较

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目的:比较未破裂型输卵管妊娠与妊娠黄体囊肿的超声图像特征.方法:回顾性分析 2022 年 2 月至 2023 年 3 月该院收治的 68 例未破裂型输卵管妊娠患者的临床资料,设为观察组;另选取同期 40 例妊娠黄体囊肿患者的临床资料,设为对照组.两组均行阴道彩色多普勒超声检查,比较两组超声图像特征、包块血流分布情况、包块血流频谱形态、包块与同侧卵巢位置变化率.结果:经阴道彩超检查结果显示,两组包块大小、环壁厚度比较,差异均无统计学意义(P>0.05);观察组阻力指数(RI)、环壁高回声率均高于对照组,环壁低回声率低于对照组,差异有统计学意义(P<0.05);两组包块血流分布情况比较,差异有统计学意义(P<0.05);观察组高阻力型、低阻力型血流频谱均高于对照组,极低阻力型血流频谱率低于对照组,差异有统计学意义(P<0.05);变换体位后,观察组包块与同侧卵巢位置变化率为 88.24%,高于对照组的 0,差异有统计学意义(P<0.05).结论:未破裂型输卵管妊娠患者超声图像特征中的RI、环壁高回声率、高阻力型血流频谱率、低阻力型血流频谱率、包块与同侧卵巢位置变化率均高于妊娠黄体囊肿患者,环壁低回声率、极低阻力型血流频谱率均低于妊娠黄体囊肿患者,且包块血流分布不丰富.
Comparison of ultrasound image features of unruptured tubal pregnancy and corpus luteum cyst of pregnancy
Objective:To compare ultrasound image features of unruptured tubal pregnancy and corpus luteum cyst of pregnancy.Methods:The clinical data of 68 patients with unruptured tubal pregnancy admitted to this hospital from February 2022 to March 2023 were retrospectively analyzed and they were set as the observation group.The clinical data of 40 patients with corpus luteum cyst of pregnancy were retrospectively analyzed and they were selected as the control group.Both groups underwent vaginal color Doppler ultrasonography.The ultrasonic image features,mass blood flow distribution,mass blood flow spectrum morphology,and mass and ipsilateral ovarian position change rate were compared between the two groups.Results:The transvaginal color Doppler ultrasound examination showed that there were no significant differences in the size of the mass and the thickness of the ring wall between the two groups(P>0.05).The resistance index(RI)and high echo rate of the ring wall in the observation group were higher than those in the control group,the low echo rate of the ring wall was lower than that in the control group,and the differences were statistically significant(P<0.05).There was statistically significant difference in the distribution of mass blood flow between the two groups(P<0.05).The blood flow spectrum of high resistance type and low resistance type in the observation group were higher than those in the control group,the blood flow spectrum rate of very low resistance type was lower than that in the control group,and the differences were statistically significant(P<0.05).After changing the position,the change rate of mass and ipsilateral ovarian position in the observation group was 88.24%,which was higher than 0 in the control group,and the difference was statistically significant(P<0.05).Conclusions:The RI,the ring wall high echo rate,the blood flow spectrum of high resistance type and low resistance type,the mass and ipsilateral ovarian position change rate in the ultrasound image features of the patients with unruptured tubal pregnancy are higher than those of the patients with pregnancy corpus luteum cyst.Further,the ring wall low echo rate and the very low resistance type blood flow spectrum rate are lower than those of the patients with pregnancy corpus luteum cyst,and the mass blood flow distribution is not rich.

Unruptured tubal pregnancyCorpus luteum cyst of pregnancyTransvaginal color Doppler ultrasoundUltrasoundImage feature

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宜春市妇幼保健院超声医学科,江西 宜春 336000

未破裂型输卵管妊娠 妊娠黄体囊肿 经阴道彩色多普勒超声 超声 图像特征

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
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