经阴道超声诊断早期异位妊娠的影响因素
发布时间：2018-11-23 15:12
【摘要】：目的探讨影响经阴道超声(TVS)诊断早期异位妊娠(EP)准确率的因素。方法回顾性分析5600例停经4~6周患者中205例疑似EP的声像图,并与腹腔镜结果对照。结果 TVS诊断早期EP准确率为68.86%(115/167);妊娠位置不确定(PUL)发生率38.54%(79/205);早期妊娠无明显临床症状比例为53.66%(110/205);未破裂型EP包块中输卵管环型居多(110/155,70.97%);年资短的医师较年资长的医师易发生误诊(P0.05)。结论影响TVS诊断早期EP的主要因素为PUL的存在、缺乏临床症状、未破裂EP超声图像不典型及超声医师的经验和技能。
[Abstract]:Objective to investigate the factors influencing the accuracy of transvaginal ultrasound (TVS) in the diagnosis of early ectopic pregnancy (EP). Methods the sonogram of suspected EP in 5600 postmenopausal patients at 6 weeks postmenopause was retrospectively analyzed and compared with the results of laparoscopy. Results the accuracy rate of TVS in the diagnosis of early EP was 68.86% (115 / 167), the incidence of (PUL) was 38.54% (79 / 205), the rate of no obvious clinical symptoms in early pregnancy was 53.66% (110 / 205). Most of the unruptured EP masses were oviduct ring type (110 / 1550.97%), and the doctors with short seniority were more likely to misdiagnose than those with long service (P0.05). Conclusion the main factors affecting the early diagnosis of EP by TVS are the presence of PUL, the lack of clinical symptoms, the atypical ultrasound images of unruptured EP and the experience and skills of ultrasound physicians.
【作者单位】： 上海市虹口区江湾医院超声科;
【基金】：上海市虹口区卫计委科研项目(虹卫201304-39)
【分类号】：R714.22;R445.1
[Abstract]:Objective to investigate the factors influencing the accuracy of transvaginal ultrasound (TVS) in the diagnosis of early ectopic pregnancy (EP). Methods the sonogram of suspected EP in 5600 postmenopausal patients at 6 weeks postmenopause was retrospectively analyzed and compared with the results of laparoscopy. Results the accuracy rate of TVS in the diagnosis of early EP was 68.86% (115 / 167), the incidence of (PUL) was 38.54% (79 / 205), the rate of no obvious clinical symptoms in early pregnancy was 53.66% (110 / 205). Most of the unruptured EP masses were oviduct ring type (110 / 1550.97%), and the doctors with short seniority were more likely to misdiagnose than those with long service (P0.05). Conclusion the main factors affecting the early diagnosis of EP by TVS are the presence of PUL, the lack of clinical symptoms, the atypical ultrasound images of unruptured EP and the experience and skills of ultrasound physicians.
【作者单位】： 上海市虹口区江湾医院超声科;
【基金】：上海市虹口区卫计委科研项目(虹卫201304-39)
【分类号】：R714.22;R445.1
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相关期刊论文 前10条
1 苏丽珍;;经阴道超声对早期不典型宫外孕的诊断价值[J];当代医学;2014年24期
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