彩色多普勒超声对异位妊娠的诊断价值和临床探讨.docVIP

彩色多普勒超声对异位妊娠的诊断价值和临床探讨 摘要：目的 探讨异位妊娠采用彩色多普勒超声诊断价值。方法 选取异位妊娠和宫内妊娠孕产妇各30例，均为我院产科2014年2月～2015年9月收治，分别采用经腹、经阴道彩超诊断，对比不同妊娠类型特征及不同彩超检测方法准确率。结果 两组血清β-HCG无差异（P 0.05），异位妊娠组孕妇子宫内膜厚度明显小于宫内妊娠组，有统计学差异（P 0.05）。异位妊娠组螺旋动脉检出率为3.3%，明显低于对照组70%，有统计学差异（P 0.05）。经腹彩超对异位妊娠检测准确率为70%，明显低于经阴道彩超96.7%，有统计学差异（P 0.05）。各项典型影像学征象经阴道彩超检出率均明显高于经腹（P 0.05）。结论 针对临床收治的早期异位妊娠患者，采用彩色多普勒超声检查，有较高的诊断价值，且与经腹彩超比较，经阴道彩超检查准确率更高。 关键词：彩色多普勒超声；异位妊娠；诊断；临床特征 Abstract：Objective To investigate the diagnostic value of color Doppler ultrasound in ectopic pregnancy.Methods 30 cases of ectopic pregnancy and pregnant women in the hospital were selected.All cases were treated in our hospital from September 2015 to February 2014，and were diagnosed by abdominal and transvaginal color Doppler ultrasound.Results There was no difference between the two groups（-HCG），and the thickness of the pregnant women in the ectopic pregnancy group was significantly less than that in the intrauterine pregnancy group（P 0.05）.The detection rate of spiral artery in ectopic pregnancy group was 70%，which was significantly lower than that of the control group，which was statistically significant（P 0.05）.The accuracy rate of the diagnosis of ectopic pregnancy by abdominal color Doppler ultrasound was 70%，which was significantly lower than that of transvaginal color Doppler ultrasound（P 0.05）.The typical imaging findings were significantly higher than that of the abdomen（P 0.05）.Conclusion In the clinical treatment of early ectopic pregnancy，the use of color Doppler ultrasound examination，with a high diagnostic value，and compared with the abdominal ultrasound，transvaginal color Doppler ultrasound examination accuracy is higher. Key words：Color Doppler ultrasound；Ectopic pregnancy；Diagnosis；Clinical characteristics 临床妇产科常见危急重症领域，异位妊娠发生率居较高水平，因早期典型症状缺乏，有较低诊断率，极易使病情延误而对患者生命安全构成威胁[1]。本次研究选取宫内妊娠与异位妊娠病例，采用彩色多普勒超声行经腹、经阴道检查，对比两种妊娠各自特点，并总结最佳检测方法，现回顾结果如下。 1资料与方法 1.1一般资料 选取异位妊娠患者30例，年龄21～40岁，平均（29.2±5.1）岁，平均停经时间为（39.3±4.6）d。其中阴道不规则流血25例，腹痛29例；间质部妊娠1例，壶腹部妊娠24例，伞部妊娠2