早期不明位置妊娠经阴道彩色多普勒超声检测妊娠黄体临床价值探讨

发布时间：2018-03-11 02:12

本文选题：超声检查　切入点：多普勒　出处：《中国超声医学杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的探讨经阴道彩色多普勒超声检测妊娠黄体在诊断早期不明位置妊娠(PUL)中的应用价值。方法将146例PUL患者根据病理结果,分为早期输卵管妊娠(TP)组59例、宫内早孕(IUP)组45例及宫内早孕流产(IUPM)组42例,对比分析三组妊娠黄体大小、回声类型、血流分级及阻力指数(RI)的差异。结果早期TP组、IUP组及IUPM组妊娠黄体的平均径分别为(17.15±4.69)、(17.20±3.04)mm及(16.62±2.80)mm,三组妊娠黄体平均径比较差异无统计学意义(P=0.733)。三组妊娠黄体回声类型比较差异无统计学意义(χ2=3.578,P=0.748)。三组妊娠黄体血流分级比较差异有统计学意义(χ2=18.348,P=0.003)。早期TP组、IUP组及IUPM组妊娠黄体RI分别为(0.54±0.05)、(0.50±0.06)、(0.54±0.07)。早期TP组与IUP组、IUPM组与IUP组妊娠黄体RI比较差异有统计学意义(P=0.001、0.000)。早期TP组与IUPM组妊娠黄体RI比较差异无统计学意义(P=0.506)。结论经阴道彩色多普勒超声检测妊娠黄体血流丰富程度及RI值对判断PUL妊娠结局有一定的临床价值。
[Abstract]:Objective to evaluate the value of transvaginal color Doppler ultrasonography in the diagnosis of early pregnancy with unknown location. Methods according to the pathological results, 146 patients with PUL were divided into early tubal pregnancy group (59 cases) and early tubal pregnancy group (59 cases). There were 45 cases in IUPgroup and 42 cases in IUPMgroup. The size and echo type of corpus luteum in three groups were compared and analyzed. Results the average diameter of luteal body in early TP group and IUPM group was 17.15 卤4.69 ~ 3.04 mm and 16.62 卤2.80 mm, respectively. There was no significant difference in the mean diameter of luteal body between the three groups. There was no significant difference between the three groups (蠂 2 + 3.578). There was significant difference in the blood flow grade of corpus luteum among the three groups (蠂 ~ 2 ~ (18) 348). The RI of corpus luteum in early TP group and IUPM group were 0.54 卤0.05 卤0.06 卤0.54 卤0.07, respectively. There was a significant difference between early TP group and IUP group in pregnancy luteal body RI compared with IUP group. There was no significant difference in RI between early TP group and IUPM group. Conclusion the detection of luteal blood flow richness and RI value by transvaginal color Doppler ultrasound has a certain clinical value in judging the outcome of pregnancy in patients with PUL. [WT5HZ] [WT5 "BZ] [WT5" BZ] [WT5 "BZ] [WT5" BZ] [WT5BZ] there is no significant difference in RI between TP group and IUPM group.
【作者单位】：上海交通大学医学院附属第六人民医院超声医学科;上海交通大学医学院附属新华医院崇明分院超声科;
【分类号】：R445.1;R714.2

【参考文献】