摘要
目的:探讨阴道超声联合腹部超声在异位妊娠患者中的辅助诊断效果及超声征象对比。方法:回顾性分析2021年1月—2022年12月山东第一医科大学附属人民医院的120例疑似异位妊娠患者的临床资料,所有研究对象均接受经阴道超声、经腹部超声及手术病理检测,将临床手术病理检测结果作为金标准,统计单纯经腹部超声、单纯经阴道超声以及腹部联合阴道超声检测结果,逐一分析3种方法诊断效果,并对比超声声像图以探究临床诊断效能。结果:将临床手术病理检测结果作为金标准,疑似异位妊娠患者120例中,经病理学诊断为100例阳性,20例阴性;经腹部联合经阴道超声诊断的敏感度、准确度高于单一经腹部超声、经阴道超声诊断,漏诊率低于单一诊断,差异有统计学意义(P<0.05);三组间特异度诊断比较,差异无统计学意义(P>0.05);临床联合诊断后疑似孕囊影、混合型团块及胚芽胎心等概率高于单一经腹部诊断,差异有统计学意义(P<0.05);对混合型团块诊断概率高于单一经阴道诊断,差异有统计学意义(P<0.05)。结论:临床针对异位妊娠患者采取经阴道联合经腹部超声诊断方式干预,能够提高诊断效能,此外有效辨别声像图特征,利于后期治疗。
Objective Exploring the auxiliary diagnostic effect and ultrasound sign comparison of vaginal ultrasound combined with abdominal ultrasound in patients with ectopic pregnancy.Methods Retrospective analysis of clinical data from 120 suspected ectopic pregnancy patients at the Shandong First Medical University Affiliated People's Hospital from January 2021 to December 2022.All study subjects underwent transvaginal ultrasound,transabdominal ultrasound,and surgical pathology testing,and the clinical surgical pathology testing results were used as the gold standard.The results of single transabdominal ultrasound,single transvaginal ultrasound,and abdominal combined vaginal ultrasound testing were statistically analyzed,and the diagnostic effects of the three methods were analyzed one by one.Ultrasound images were compared to explore clinical diagnostic efficacy.Results Using clinical surgical pathological test results as the gold standard.In 120 suspected ectopic pregnancy patients,100 were diagnosed as positive and 20 were diagnosed as negative through pathological examination.The sensitivity and accuracy of abdominal combined vaginal ultrasound diagnosis were higher than those of single transabdominal ultrasound and transvaginal ultrasound diagnosis,and the missed diagnosis rate was lower than that of single diagnosis,with a statistically significant difference(P<0.05).There was no statistically significant difference in the specificity diagnosis among the three groups(P>0.05).The probability of suspected gestational sac shadow,mixed mass,and embryonic heart after clinical joint diagnosis was higher than that of single abdominal diagnosis,with statistical significance(P<0.05).The probability of mixed mass diagnosis was higher than that of single vaginal diagnosis,with statistical significance(P<0.05).Conclusions The intervention of transvaginal combined with transabdominal ultrasound diagnosis for patients with ectopic pregnancy in clinical practice can improve diagnostic efficiency,effectively distinguish ultrasound features,and facilitate later treatment.
作者
英华
吴群
张胜强
吴桂花
周长江
YING Hua;WU Qun;ZHANG Shengqiang;WU Guihua;ZHOU Changjiang(Department of Ultrasound,Shandong First Medical University Affiliated People's Hospital,Jinan,Shandong 271100,China)
出处
《医药前沿》
2024年第15期35-38,共4页
Journal of Frontiers of Medicine
关键词
阴道超声
腹部超声
异位妊娠
诊断效果
超声征象
Vaginal ultrasound
Abdominal ultrasound
Ectopic pregnancy
Diagnostic effectiveness
Ultrasound signs
