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时间:2020-05-14
《经腹部超声联合经阴道超声在宫外孕中的诊断价值探讨.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、726囝JMedTheor&PracVo1.28,No.6,Mar20152015年第28卷第6期睡葶理i£与摹鬟耄二经腹部超声联合经阴道超声在宫外孕中的诊断价值探讨周丽萍江苏省江阴市南闸医院超声科214405摘要目的:探讨经腹部超声(TAS)联合经阴道超声(TVS)在宫外孕中的诊断价值。方法:回顾性分析2013年1月一2014年7月72例宫外孕患者的临床资料,所有患者均经TAS和TVs检查。分析其二维超声分型表现,比较TAS、TVS和FAS+TVS的诊断准确率和检出率。结果:72例宫外孕患者的二维超声可见26例未破裂型(附件区见类妊娠囊
2、的环状高回声结构,内为小液性暗区)、35例流产型(附件区见边界不清的肿块,内部呈不均质高回声和液性暗区)、5例破裂型(宫旁见混合回声包块,内部回声杂乱)、1例宫角型(右宫角部见类妊娠囊的环状高回声结构,内为小液性暗区)和1例宫颈型(宫颈管内见高回声团块)。TAS、TVs和TAS+TVS诊断准确率分别为56.94、90.28、98.61,差异比较有统计学意义(P<0.05)。TVS、TAS+TVS的附件区包块、卵黄囊、胎芽和胎心检出率明显高于TAS(P3、检查有其独特的分型表现,采用TAS+TVS检查可提高诊断准确率和检出率。关键词宫外孕经腹部超声经阴道超声诊断价值中图分类号:R445.1文献标识码:A文章编号:1001—7585(2015)06—0726—03TheDiagnosticValueonEctopicPregnancybyTransvaginalUltrasoundCombinedwithAbdominalUltrasoundZHOULiping.DepartmentofUltrasound,NanzhaHospital,JiangyinCity,JiangsuProvinc4、e214405ABSTRACtObjective:Toexplorethediagnosticvalueofabdominalultrasound(TAS)combinedwithtransvaginalultrasound(TVS)onectopicpregnancy.Methods:Aretrospectiveanalysisof72patientswithectopicpregnancywasse1ectedfromJanuary2013toJuly2014.allpatientswereconfirmedbyTASandTVS.T5、heperformanceoftwo—dimensionalultrasoundwasanalysised.anddiagnosticaccuracyanddetectionrateofTAS,TVSandTAS+TVSwerecorn—pared.Results:In72casesofectopicpregnancy,26casesabouttheperformanceoftwo-dimensionalultrasoundwereunruptured(annexareagestationalsacclassringhyperechoic6、structureswithinasmallliquiddarkarea),35casesweremiscarriage(annexareaboundarywasunclearmasswithinternalhyperechoicandliquiddarkarea),5caseswasrup—ture(hybridechouterinemasswithinternalechoclutter),1casewasuterinehornmodel(rightcornualgestationa[sacclasshyperechoicringstr7、ucturewithinasmallliquiddarkarea)and1casewascervicaltype(hyperechoicmassofthecervix).TherewerestatisticallysignificantdifferenceinthediagnosticaccuracyratesofTAS(56.94),TVS(90.28%)andTAS+TVS(98.61V0)(P<0.05).Thedetectionratesofaccessoriesareamass,yolksac,fetalbudandfetalh8、eartbyTVSorTAS+TVSweresignificantlyhigherthanthosebyTAS(P%0.05),whichbyTVSweresignificantlylower
3、检查有其独特的分型表现,采用TAS+TVS检查可提高诊断准确率和检出率。关键词宫外孕经腹部超声经阴道超声诊断价值中图分类号:R445.1文献标识码:A文章编号:1001—7585(2015)06—0726—03TheDiagnosticValueonEctopicPregnancybyTransvaginalUltrasoundCombinedwithAbdominalUltrasoundZHOULiping.DepartmentofUltrasound,NanzhaHospital,JiangyinCity,JiangsuProvinc
4、e214405ABSTRACtObjective:Toexplorethediagnosticvalueofabdominalultrasound(TAS)combinedwithtransvaginalultrasound(TVS)onectopicpregnancy.Methods:Aretrospectiveanalysisof72patientswithectopicpregnancywasse1ectedfromJanuary2013toJuly2014.allpatientswereconfirmedbyTASandTVS.T
5、heperformanceoftwo—dimensionalultrasoundwasanalysised.anddiagnosticaccuracyanddetectionrateofTAS,TVSandTAS+TVSwerecorn—pared.Results:In72casesofectopicpregnancy,26casesabouttheperformanceoftwo-dimensionalultrasoundwereunruptured(annexareagestationalsacclassringhyperechoic
6、structureswithinasmallliquiddarkarea),35casesweremiscarriage(annexareaboundarywasunclearmasswithinternalhyperechoicandliquiddarkarea),5caseswasrup—ture(hybridechouterinemasswithinternalechoclutter),1casewasuterinehornmodel(rightcornualgestationa[sacclasshyperechoicringstr
7、ucturewithinasmallliquiddarkarea)and1casewascervicaltype(hyperechoicmassofthecervix).TherewerestatisticallysignificantdifferenceinthediagnosticaccuracyratesofTAS(56.94),TVS(90.28%)andTAS+TVS(98.61V0)(P<0.05).Thedetectionratesofaccessoriesareamass,yolksac,fetalbudandfetalh
8、eartbyTVSorTAS+TVSweresignificantlyhigherthanthosebyTAS(P%0.05),whichbyTVSweresignificantlylower
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