[1]徐小芳.经阴道超声检查对异位妊娠的诊断价值分析[J].医学信息,2022,35(18):144-146.[doi:10.3969/j.issn.1006-1959.2022.18.040]
　XU Xiao-fang.Diagnostic Value of Transvaginal Ultrasonography in Ectopic Pregnancy[J].Journal of Medical Information,2022,35(18):144-146.[doi:10.3969/j.issn.1006-1959.2022.18.040]
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经阴道超声检查对异位妊娠的诊断价值分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年18期
页码:
144-146
栏目:
诊疗技术
出版日期:
2022-09-15

文章信息/Info

Title:
Diagnostic Value of Transvaginal Ultrasonography in Ectopic Pregnancy
文章编号:
1006-1959（2022）18-0144-03
作者:
徐小芳
（乐平市妇幼保健院妇产科，江西 乐平 333300）
Author(s):
XU Xiao-fang
(Department of Obstetrics and Gynaecology,Leping Maternal and Child Health Hospital,Leping 333300,Jiangxi,China)
关键词:
经阴道超声检查; 经腹部超声检查; 异位妊娠; 诊断效能
Keywords:
Transvaginal ultrasound; Transabdominal ultrasound; Ectopic pregnancy; Diagnostic efficacy
分类号:
R445.1；R714.22
DOI:
10.3969/j.issn.1006-1959.2022.18.040
文献标志码:
A
摘要:
目的 分析经阴道超声检查对异位妊娠的诊断价值。方法 选择本院2019年2月-2021年2月疑似异位妊娠患者66例，其中经手术病理探查确诊为异位妊娠患者34例设为观察组，确诊为非异位妊娠患者32例设为对照组，对两组患者行经阴道、腹部超声检查，比较两种方法诊断异位妊娠的图像差异、敏感度、特异性、准确度、阳性预测值、阴性预测值及Kappa值。结果 相比经腹部超声检查，经阴道超声检查能更详细地显示孕团、孕囊、孕影、胚胎、胚芽等细节信息，且图像更清晰。经腹部、阴道超声检查诊断异位妊娠的敏感度分别为61.76%、88.24%，特异性分别为62.50%、84.38%，准确值分别为62.12%、86.36%，阳性预测值分别为63.64%、85.71%，阴性预测值分别为60.61%、87.10%，Kappa值分别为0.727、0.242。经阴道超声诊断异位妊娠的敏感度、特异性、准确值及阳、阴性预测值、Kappa值均大于经腹部超声，差异有统计学意义（P＜0.05）。结论 经阴道超声检查能提高异位妊娠的诊断效能，有助于临床早期发现异位妊娠。
Abstract:
Objective To analyze the diagnostic value of transvaginal ultrasonography in ectopic pregnancy.Methods From February 2019 to February 2021, 66 patients with suspected ectopic pregnancy were selected in our hospital. Among them, 34 patients with ectopic pregnancy diagnosed by surgical pathological exploration were set as the observation group, and 32 patients with non-ectopic pregnancy were set as the control group. Transvaginal and abdominal ultrasonography were performed on the two groups of patients to compare the image differences, sensitivity, specificity, accuracy, positive predictive value, negative predictive value and Kappa value of the two methods in the diagnosis of ectopic pregnancy.Results Compared with transabdominal ultrasonography, transvaginal ultrasonography could show more detailed information such as gestational mass, gestational sac, gestational shadow, embryo and embryo, and the image was clearer. The sensitivity, specificity, accuracy and positive predictive value of transabdominal and transvaginal ultrasound in the diagnosis of ectopic pregnancy were 61.76% and 88.24%, 62.50% and 84.38%, 62.12% and 86.36%, 63.64% and 85.71%, respectively. The negative predictive value was 60.61%, 87.10%, Kappa value was 0.727, 0.242, respectively. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value and Kappa value of transvaginal ultrasound in the diagnosis of ectopic pregnancy were higher than those of transabdominal ultrasound, and the differences were statistically significant (P<0.05).Conclusion Transvaginal ultrasonography can improve the diagnostic efficiency of ectopic pregnancy and contribute to early detection of ectopic pregnancy.

参考文献/References:

[1]龚美琴,杨小芸,王平,等.脾脏异位妊娠1例报告[J].中国实用妇科与产科杂志,2019,35(6):724-726.[2]李荣,卢余莉,陈青青.盆腔异位妊娠CT表现及与MRI对比分析[J].中国CT和MRI杂志,2020,19(1):1105-1109.[3]路锦,尹轶莎,张翠莲,等.冻融胚胎移植周期中子宫内膜厚度对异位妊娠结局的影响及阈值效应分析[J].中华妇产科杂志,2021,56(9):630-634.[4]范建华,何莎,杨小红,等.不同部位异位妊娠的经阴道超声图像特征及鉴别诊断分析[J].河北医药,2020,42(2):72-75.[5]邱俊芬,刘丹,包利峰.腹部与经阴道超声检查卵巢囊肿蒂扭转的临床分析[J].医学影像学杂志,2019,29(5):882-884.[6]刘菊芳,朱思来,徐丹.经阴道超声联合经腹部超声在异位妊娠诊断中的应用[J].影像科学与光化学,2021,39(03):483-485.[7]张燕翔,陈新华.血清肌酸激酶、孕酮及抗苗勒氏管激素对输卵管妊娠诊断评估价值[J].临床军医杂志,2019,47(7):158-162.[8]刘媛媛,杨璐,孙彬彬,等.经腹部超声联合经阴道超声对早期异位妊娠的诊断价值[J].中国医疗设备,2019,49(04):238-245.[9]马丽霞,刘静,李龙欣,等.阴道超声联合孕酮,β-HCG在异位妊娠诊断中的预测价值研究[J].中国性科学,2020,29(5):178-181.[10]李凡,王如萍,周萍.不同治疗方案对异位妊娠患者血清β-hCGP及VEGF的影响及安全性[J].河北医学,2020,26(7):1092-1097.[11]李秀,陆琦,王玉东.辅助生殖技术后发生异位妊娠的高危因素分析[J].中国妇产科临床杂志,2019,16(8):106-107.[12]库朝阳.腹部超声联合阴道超声对少见部位异位妊娠的诊断价值[J].甘肃医药,2020,39(10):923-924,939.[13]杜云芳,周红梅,郑笑,等.三种不同超声方法对异位妊娠的诊断价值[J].中国妇幼健康研究,2019,6(2):119-130.[14]周贇,陈晓姣,杨钰,等.特殊部位异位妊娠的临床特征及超声图像特点[J].安徽医学,2019,40(11):1208-1211.[15]林温文,刘晓玲,罗静,等.经阴道超声能量多普勒血流分级与血人绒毛膜促性腺激素在输卵管妊娠保守治疗中的应用[J].中国医学影像学杂志,2019,27(4):83-97.[16]李娟,李淑琴,段旭晴.经阴道联合经腹超声在异位妊娠诊断中的应用价值[J].贵州医药,2020,44(4):131-132.[17]王琴,向园花,陶爽爽.腹部超声辅助经阴道超声检查诊断异位妊娠的临床价值研究[J].中国妇幼保健,2020,35(2):243-246.[18]袁韬.腹部超声辅助经阴道超声检查诊断异位妊娠的准确性研究[J].中国妇幼保健,2019,34(24):124-126.[19]韩华,李建玲.经阴道超声联合腹部超声诊断异位妊娠与血清β-hCG,雌孕激素的关系[J].医学影像学杂志,2020,30(1):160-163.[20]莫敏,唐奇,张英,等.经腹部超声与经阴道超声诊断早期异位妊娠对比分析[J].中国医学物理学杂志,2019,36(12):3-6.

更新日期/Last Update: 1900-01-01