[1]林 华,郑 珺.阴道彩超在异位妊娠早期筛查中的声像特征及诊断效能分析[J].医学信息,2022,35(22):145-147.[doi:10.3969/j.issn.1006-1959.2022.22.035]
 LIN Hua,ZHENG Jun.Ultrasonographic Features and Diagnostic Efficiency of Transvaginal Ultrasonography in Early Screening of Ectopic Pregnancy[J].Journal of Medical Information,2022,35(22):145-147.[doi:10.3969/j.issn.1006-1959.2022.22.035]
点击复制

阴道彩超在异位妊娠早期筛查中的声像特征及诊断效能分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
145-147
栏目:
诊疗技术
出版日期:
2022-11-15

文章信息/Info

Title:
Ultrasonographic Features and Diagnostic Efficiency of Transvaginal Ultrasonography in Early Screening of Ectopic Pregnancy
文章编号:
1006-1959(2022)22-0145-03
作者:
林 华郑 珺
(广信区第五人民医院超声科1,超声医学科2,江西 上饶 334100)
Author(s):
LIN HuaZHENG Jun
(Department of Ultrasound1,Department of Ultrasound Medicine2,Guangxin District Fifth People’s Hospital,Shangrao 334100,Jiangxi,China)
关键词:
异位妊娠早期筛查阴道彩超声像特征腹部彩超
Keywords:
Ectopic pregnancyEarly screeningVaginal color Doppler ultrasoundSonographic featuresAbdominal color Doppler ultrasound
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2022.22.035
文献标志码:
A
摘要:
目的 分析阴道彩超在异位妊娠早期筛查中的声像特征及诊断效能。方法 选取2019年5月-2021年10月广信区第五人民医院收治的60例异位妊娠患者为观察对象,均给予阴道彩超与腹部彩超检查,以手术结果为参考,分析阴道彩超在异位妊娠诊断中的声像特征及诊断价值。结果 阴道彩超的诊断准确率高于腹部彩超(P<0.05);异位妊娠的阴道彩超声像特征主要为宫内未见妊娠囊,宫外存在妊娠囊回声及完整妊娠囊,一侧附件区存在不规则回声包块;阴道彩超的超声图像检出率(附件包块、胚芽、盆腔积液、原始血管搏动)高于腹部彩超(P<0.05);阴道彩超的输卵管壶腹妊娠、宫角妊娠、切口妊娠、卵巢妊娠孕囊检出率高于腹部彩超(P<0.05)。结论 阴道彩超在异位妊娠早期筛查中具有较高诊断价值,可提升孕囊检出率。
Abstract:
Objective To analyze the sonographic features and diagnostic efficacy of transvaginal ultrasound in early screening of ectopic pregnancy.Methods A total of 60 patients with ectopic pregnancy admitted to the Guangxin District Fifth People’s Hospital from May 2019 to October 2021 were selected as the observation objects. All patients were examined by transvaginal color Doppler ultrasound and abdominal color Doppler ultrasound. Based on the surgical results, the sonographic features and diagnostic value of transvaginal color Doppler ultrasound in the diagnosis of ectopic pregnancy were analyzed.Results The diagnostic accuracy of transvaginal ultrasonography was higher than that of abdominal ultrasonography (P<0.05). The sonographic features of ectopic pregnancy vaginal ultrasound mainly for no intrauterine gestational sac, ectopic presence of gestational sac echo and complete gestational sac, irregular echo mass side attachment area. The detection rate of transvaginal ultrasonography (adnexal mass, embryo, pelvic effusion, primitive vascular pulsation) was higher than that of abdominal ultrasonography (P<0.05). The detection rate of tubal ampullary pregnancy, cornual pregnancy, incision pregnancy and ovarian pregnancy gestational sac by transvaginal ultrasonography was higher than that by transabdominal ultrasonography (P<0.05).Conclusion Transvaginal ultrasonography has high diagnostic value in early screening of ectopic pregnancy and can improve the detection rate of gestational sac.

参考文献/References:

[1]李国英,陈红霞,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):5791-5793.[2]孙艳芳,彭月享,蔡炜琼,等.阴道彩超联合血清β-HCG、CK、VEGF诊断早期异位妊娠[J].中国计划生育学杂志,2020,28(12):2077-2080,2138.[3]Baekelandt J,Vercammen J.IMELDA transvaginal approach to ectopic pregnancy: diagnosis by transvaginal hydrolaparoscopy and treatment by transvaginal natural orifice transluminal endoscopic surgery[J].Fertility and Sterility,2017,102(1):e1-e2.[4]吴莉,周建英.经腹联合经阴道彩超对异位妊娠的诊断价值[J].影像科学与光化学,2020,38(5):833-837.[5]白嫦娥.经阴道彩色多普勒超声检查对早期异位妊娠检出率的影响[J].中国药物与临床,2020,20(9):1458-1459.[6]邢玉鉴,陈燕,代霁红.阴道超声检查及血清β-HCG、孕酮检测在早期输卵管妊娠诊断中的应用及评价[J].中国实验诊断学,2016(2):283-285.[7]Simpson D,Drumheller B,Abramoff C.Presentation and diagnostic challenges in identifying late first trimester ectopic pregnancy by point-of-care ultrasound[J].Visual Journal of Emergency Medicine,2021,22(1):100870.[8]张秀珍,袁领欢,刘芳.经阴道彩色多普勒超声对宫外孕破裂与卵巢黄体破裂的鉴别诊断价值[J].海南医学,2019,30(4):479-482.[9]周建,陈晓婷.阴道彩色多普勒超声在异位妊娠早期诊断中的临床意义[J].陕西医学杂志,2016,45(6):664-665.[10]Richardson A,Gallos I,Dobson S,et al.Accuracy of first-trimester ultrasound in diagnosis of tubal ectopic pregnancy in the absence of an obvious extrauterine embryo: systematic review and meta-analysis[J].Ultrasound Obstet Gynecol,2016,47(1):28-37.[11]孙倩,穆柯晓.经阴道彩色多普勒超声检测妊娠黄体血流对早期不明位置妊娠者妊娠结局的影响[J].中国医药导报,2018,15(25):119-122.[12]王丽,汪旭,姚冬梅.宫外孕妇女120例早期经阴道彩超诊断的临床价值分析[J].中国性科学,2018,27(6):90-93.[13]李松霖,廖珍兰.阴道彩超检测子宫内膜厚度联合血清β-HCG与CA125检测在异位妊娠诊断中的价值[J].中国临床研究,2018,31(3):410-412.[14]潘虹,魏春梅,张雅静.孕酮、血清β-HCG与阴道彩超联合用于宫内妊娠与异位妊娠的诊断价值[J].实验与检验医学,2017,35(5):727-729,739.[15]Leite Jde F,Fraietta R,Elito Júnior J.Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report[J].Rev Assoc Med Bras (1992),2016,62(2):184-185.[16]易俊秀,华兴,郭燕丽,等.经阴道超声检查联合48h血HCG比率对异位妊娠的预测价值[J].局解手术学杂志,2017,26(2):149-152.[17]Jiang F,Nong W,Su H,et al.Intrauterine ectopic pregnancy - ultrasound typing and treatment[J].Ginekol Pol,2020,91(3):111-116.[18]孙喜东,雷丽,于淑敏,等.经阴道超声检查联合β-人绒毛膜促性腺激素、孕酮检测在异位妊娠中的诊断价值[J].医学临床研究,2019,36(4):788-790.[19]潘美美,陈少珍.经腹和经阴道彩超对早期异位妊娠诊断价值分析[J].医学影像学杂志,2015,25(8):1496-1498.[20]Vyas P,Cockrum RH,Douglass L,et al.Impact of Overnight Formal Ultrasound on the Diagnosis of Ectopic Pregnancy (EP) Among Symptomatic Pregnancies of Unknown Location (PUL)[J].Journal of Minimally Invasive Gynecology,2020,27(7):S131-S132.[21]闫建军.腹部彩色超声与阴道彩色超声在诊断早期异位妊娠的诊断率对比研究[J].河北医学,2016,22(6):1002-1004.[22]闫凯,曹丹,贾彩霞.经腹部与经阴道彩色多普勒超声检查异位妊娠的临床价值分析[J].贵州医药,2020,44(11):1805-1806.[23]易俊秀,华兴,郭燕丽,等.经阴道超声检查联合48h血HCG比率对异位妊娠的预测价值[J].局解手术学杂志,2017,26(2):149-152.[24]白明.128例经阴道超声检查诊断异位妊娠的临床分析[J].中国妇产科临床杂志,2017,18(5):447-448.[25]赵筱丹,王心佳,龚丽红.对比分析经腹部与经阴道超声检查在异位妊娠患者诊断中的应用[J].哈尔滨医科大学学报,2021,55(1):94-96.

相似文献/References:

[1]刘 爽.阴道彩超与腹部彩超诊断异位妊娠的临床价值分析[J].医学信息,2018,31(08):159.[doi:10.3969/j.issn.1006-1959.2018.08.056]
 LIU Shuang.Clinical Value of Vaginal Color Doppler Ultrasonography and Abdominal Color Doppler Ultrasound in the Diagnosis of Ectopic Pregnancy[J].Journal of Medical Information,2018,31(22):159.[doi:10.3969/j.issn.1006-1959.2018.08.056]
[2]韦 林,赵军玲,宾 力,等.异位妊娠腹腔镜镜像与TVS表现及 血清β-HCG表达的相关性研究[J].医学信息,2019,32(12):85.[doi:10.3969/j.issn.1006-1959.2019.12.026]
 WEI Lin,ZHAO Jun-ling,BIN Li,et al.Correlation Research between Laparoscopic Mirror Image of Ectopic Pregnancy and TVS Expression and Serum β-HCG Expression[J].Journal of Medical Information,2019,32(22):85.[doi:10.3969/j.issn.1006-1959.2019.12.026]
[3]韩玉英.腹腔镜下输卵管切开取胚联合输卵管通液术对远期妊娠的影响[J].医学信息,2018,31(21):109.[doi:10.3969/j.issn.1006-1959.2018.21.030]
 HAN Yu-ying.Effect of Embryo Extraction by Laparoscopic Oviduct Incision Combined with Hydrotubation on Long-term Pregnancy[J].Journal of Medical Information,2018,31(22):109.[doi:10.3969/j.issn.1006-1959.2018.21.030]
[4]黄 琼.阴道彩超联合血清孕酮、β-HCG及CA125对异位妊娠的诊断价值[J].医学信息,2018,31(24):128.[doi:10.3969/j.issn.1006-1959.2018.24.037]
 HUANG Qiong.Clinical Value of Vaginal Color Ultrasound Combined with Serum Progesterone,β-HCG and CA125 in the Diagnosis of Ectopic Pregnancy[J].Journal of Medical Information,2018,31(22):128.[doi:10.3969/j.issn.1006-1959.2018.24.037]
[5]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.[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(22):144.[doi:10.3969/j.issn.1006-1959.2022.18.040]
[6]叶瑛瑛,王金辉,谢灵平.miRNA-323-3p联合miRNA-873在异位妊娠早期诊断中的价值研究[J].医学信息,2022,35(22):72.[doi:10.3969/j.issn.1006-1959.2022.22.012]
 YE Ying-ying,WANG Jin-hui,XIE Ling-ping.The Value of miRNA-323-3p Combined with miRNA-873 in Early Diagnosis of Ectopic Pregnancy[J].Journal of Medical Information,2022,35(22):72.[doi:10.3969/j.issn.1006-1959.2022.22.012]
[7]吴传慧,吴传芬.经腹部联合阴道超声在妇产科急腹症诊断中的应用价值[J].医学信息,2022,35(24):154.[doi:10.3969/j.issn.1006-1959.2022.24.034]
 WU Chuan-hui,WU Chuan-fen.The Application Value of Transabdominal Combined with Transvaginal Ultrasound in the Diagnosis of Acute Abdomen in Obstetrics and Gynecology Department[J].Journal of Medical Information,2022,35(22):154.[doi:10.3969/j.issn.1006-1959.2022.24.034]
[8]王良莉,郑贤芳.血HCG、孕酮及雌二醇联合腹部彩超在早期异位妊娠中的诊断价值[J].医学信息,2023,36(11):134.[doi:10.3969/j.issn.1006-1959.2023.11.027]
 WANG Liang-li,ZHENG Xian-fang.The Diagnostic Value of Serum HCG, Progesterone and Estradiol Combined with Abdominal Ultrasound in Early-stage Ectopic Pregnancy[J].Journal of Medical Information,2023,36(22):134.[doi:10.3969/j.issn.1006-1959.2023.11.027]
[9]李 璟,光晓燕,于 琳,等.二孩政策实施前后异位妊娠临床特征的变化分析[J].医学信息,2023,36(23):13.[doi:10.3969/j.issn.1006-1959.2023.23.004]
 LI Jing,GUANG Xiao-yan,YU Lin,et al.Changes of Clinical Characteristics of Ectopic Pregnancy Before and After the Implementation of the Two-child Policy[J].Journal of Medical Information,2023,36(22):13.[doi:10.3969/j.issn.1006-1959.2023.23.004]

更新日期/Last Update: 1900-01-01