[1]苗 琦,肖晓芳.阴道超声联合血清β-HCG检测对稽留流产患者子宫动脉血流动力学变化及预后的预测分析[J].医学信息,2022,35(22):151-153.[doi:10.3969/j.issn.1006-1959.2022.22.037]
　MIAO Qi,XIAO Xiao-fang.Prediction of Uterine Artery Hemodynamic Changes and Prognosis in Patients with Missed Abortion by Transvaginal Ultrasound Combined with Serum β-HCG[J].Journal of Medical Information,2022,35(22):151-153.[doi:10.3969/j.issn.1006-1959.2022.22.037]
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阴道超声联合血清β-HCG检测对稽留流产患者子宫动脉血流动力学变化及预后的预测分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
151-153
栏目:
诊疗技术
出版日期:
2022-11-15

文章信息/Info

Title:
Prediction of Uterine Artery Hemodynamic Changes and Prognosis in Patients with Missed Abortion by Transvaginal Ultrasound Combined with Serum β-HCG
文章编号:
1006-1959（2022）22-0151-03
作者:
苗 琦; 肖晓芳
（1.赣州市章贡区妇幼保健院影像科，江西 赣州 3410002.赣州市妇幼保健院超声科，江西 赣州 341000）
Author(s):
MIAO Qi; XIAO Xiao-fang
(1.Department of Imaging,Zhanggong District Maternal and Child Health Hospital,Ganzhou 341000,Jiangxi,China;2.Department of Ultrasound,Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,Jiangxi,China)
关键词:
稽留流产; 阴道超声; 血清β-HCG检测; 血流动力学指标
Keywords:
Missed abortion; Vaginal ultrasound; Serum β-HCG detection; Hemodynamic index
分类号:
R714.2
DOI:
10.3969/j.issn.1006-1959.2022.22.037
文献标志码:
A
摘要:
目的 探讨阴道超声联合血清β-HCG检测对稽留流产患者子宫动脉血流动力学变化及预后的预测价值。方法 选取2017年1月-2021年10月我院妇科收治的稽留流产患者60例为试验组，另选取同期正常早孕者60例为对照组。两组均采用阴道超声检查，并进行血清β-HCG检测。比较两组孕妇妊娠周期＜10周及10~12周子宫动脉血流动力学指标[收缩期峰值流速与舒张末期流速比值（S/D）、阻力指数（RI）、搏动指数（PI）]、血清β-HCG水平以及不同检测方式的阳性检出率。结果 0 h时，两组β-HCG水平比较，差异无统计学意义（P＞0.05）；48 h时，试验组β-HCG水平低于对照组（P＜0.05）；且试验组48 h增长率小于对照组（P＜0.05）；妊娠＜10周时，两组S/D值比较，差异无统计学意义（P＞0.05），试验组PI、RI值低于对照组（P＜0.05）；妊娠10~12周时，两组S/D、PI值比较，差异无统计学意义（P＞0.05），试验组RI值低于对照组（P＜0.05）；β-HCG检测阳性检出率为86.67%；阴道超声检查阳性检出率为93.33%；两种方法联合检测阳性检出率为100.00%。结论 阴道超声联合血清β-HCG检测准确率高于单独检测，β-HCG水平越低子宫动脉血流动力学参数越高，提示稽留流产发生率越高，对血清β-HCG水平和子宫动脉血流动力学参数变化进行密切监测有利于稽留流产的诊断与预防。
Abstract:
Objective To investigate the predictive value of transvaginal ultrasound combined with serum β-HCG detection for uterine artery hemodynamic changes and prognosis in patients with missed abortion.Methods From January 2017 to October 2021,60 patients with missed abortion admitted to our hospital were selected as the experimental group, and 60 patients with normal early pregnancy were selected as the control group. Both groups were examined by vaginal ultrasound and serum β-HCG was detected. The hemodynamic indexes of uterine artery [ratio of systolic peak velocity to end-diastolic velocity (S/D), resistance index (RI), pulsatility index (PI)] of pregnant women with pregnancy cycle < 10 weeks and 10-12 weeks, serum β-HCG level and positive detection rate of different detection methods were compared between the two groups.Results At 0 h, there was no significant difference in β-HCG level between the two groups (P>0.05); at 48 h, the level of β-HCG in the experimental group was lower than that in the control group (P<0.05), and the 48 h growth rate of the experimental group was lower than that of the control group (P<0.05). At< 10 weeks of pregnancy, there was no significant difference in S/D value between the two groups (P>0.05); the PI and RI values of the experimental group were lower than those of the control group (P<0.05). At 10-12 weeks of pregnancy, there was no significant difference in S/D and PI values between the two groups (P>0.05), but the RI value of the experimental group was lower than that of the control group (P<0.05). The positive detection rate of β-HCG was 86.67%. The positive detection rate of transvaginal ultrasound was 93.33%. The positive rate of combined detection of the two methods was 100.00%.Conclusion The accuracy of vaginal ultrasound combined with serum β-HCG detection is higher than that of single detection. The lower the level of β-HCG is, the higher the hemodynamic parameters of uterine artery are, suggesting that the incidence of missed abortion is higher. Close monitoring of serum β-HCG level and changes in hemodynamic parameters of uterine artery is conducive to the diagnosis and prevention of missed abortion.

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更新日期/Last Update: 1900-01-01