妇科超声出现可疑盆腔积液或附件囊肿影响因素观察.docVIP

妇科超声出现可疑盆腔积液或附件囊肿影响因素观察 　　[摘要] 目的 探?影响妇科超声检查出现可疑盆腔积液或附件囊肿的因素。 方法 选取2015年4月12日～2017年4月12日就诊的250例妇科疾病患者为实验对象，且均实施腹部超声联合阴道超声检查，随后分为无可疑诊断患者、可疑诊断患者，对比两组患者各项资料，随后分析超声诊断的价值性。 结果 从影响因素角度分析，发现年龄、体型、婚姻、受检者来源、子宫体位、机型均不会成为影响因素，而膀胱充盈度、肠管扩张情况可作为影响超声诊断结果的主要因素。可疑诊断患者主要表现为存在肠管扩张，占98.00%；不够充盈，占45.00%；过度充盈，占41.00%，以上数据与无可疑诊断患者相比，差异有统计学意义（P0.05）。从超声诊断价值性角度分析，超声检查在盆腔积液和附件囊肿患者中，特异性、敏感性、漏诊率、误诊率分别为93.33%、97.65%、2.35%、6.67%。同时从Logistic角度分析，肠管扩张[P值：0000；OR（95%CI）：0.843（0.546～1.258）；Sig：0.007；Wald：8.458；SE：0.258；标准误：3.467]、膀胱充盈度[P值：0000；OR（95%CI）：0.524（0.365～0.865）；Sig：0.054；Wald：6.324；SE：0.695；标准误：3.129]均属于判断患者病情进展可疑因素。 结论 妇科超声检查在可疑盆腔积液和附件囊肿患者中虽具有较高的诊断价值性，但容易受到膀胱充盈度、肠管扩张情况的影响。 　　[关键词] 妇科超声；盆腔积液；附件囊肿；影响因素 　　[中图分类号] R516.1 [文献标识码] A [文章编号] 1673-9701（2018）01-0012-03 　　Observation on the influencing factors of suspicious pelvic fluid or adnexal cyst in gynecological ultrasonography 　　HOU Jieyu1 WANG Rong1 XU Hongying2 ZUO Qi1 　　1.Department of Function， Jingzhou Hospital of TCM in Hubei Province， Jingzhou 434000， China； 2.Department of Gynecology， Jingzhou Hospital of TCM in Hubei Province， Jingzhou 434000， China 　　[Abstract] Objective To analyze the factors influencing the occurrence of suspicious pelvic fluid or adnexal cyst in gynecological ultrasonography. Methods From April 12， 2015 to April 12， 2017， 250 cases of gynecological diseases were selected as the study subjects， and were all given abdominal ultrasound combined with vaginal ultrasound. Afterwards， the patients were divided into unsuspicious patients and suspicious patients. The data were compared between the two groups， and then the value of ultrasound diagnosis was analyzed. Results From the perspective of influencing factors， it could be found that age， physical size， marriage， subject source， uterine position， model were not influencing factors， but bladder filling degree， and intestinal dilatation could be used as the main factor affecting the results of ultrasound diagnosis. Suspected patients mainly showed the presen