经阴道与腹部超声诊断宫角妊娠的临床价值

发布时间：2019-06-18 11:06

【摘要】：目的比较经阴道超声与经腹部超声检查对宫角妊娠的诊断价值。方法将我院妇产科2015年5月至2016年5月期间收治的80例疑为宫角妊娠的患者作为研究对象,所有患者均先行经腹部超声检查,再行经阴道超声检查,以病理诊断结果为金标准,比较两种检查方式对宫角妊娠的诊断准确率,总结宫角妊娠的超声特征。结果经腹部超声诊断对宫角妊娠的诊断敏感性为61.33%、特异性为20.00%、阳性预测值为92.00%、阴性预测值为3.33%、准确率为58.75%;经阴道超声对宫角妊娠的诊断敏感性为82.67%、特异性为80.00%、阳性预测值为98.41%、阴性预测值为23.53%、准确率为82.50%。经阴道超声检查对宫角妊娠的诊断准确性、敏感性、特异性、阴性预测值均明显高于经腹部超声检查,差异均有统计学意义(P0.05)。经腹部超声与经阴道超声联合诊断宫角妊娠的准确性、敏感性、特异性、阳性预测值、阴性预测值分别为90.00%、90.67%、80.00%、98.55%、36.36%。结论与腹部超声检查比较,经阴道超声检查对宫角妊娠的诊断准确率更高,并且二者联用能够有效提高宫角妊娠的诊断敏感性与准确性,能够为临床早期诊断、处理宫角妊娠提供有效依据。
[Abstract]:Objective To compare the value of transvaginal and transabdominal ultrasonography in the diagnosis of uterine horn pregnancy. Methods From May 2015 to May 2016,80 cases of suspected uterine horn pregnancy were treated as the subject of the study. All the patients were examined by transvaginal ultrasound, and the result of pathological diagnosis was the gold standard. To compare the diagnostic accuracy of the two methods to the pregnancy of the uterine horn, and to sum up the ultrasonic characteristics of the uterine horn pregnancy. Results The diagnostic sensitivity of abdominal ultrasound was 61.33%, the specificity was 20.00%, the positive predictive value was 92.00%, the negative predictive value was 3.33%, the accuracy rate was 58.75%, and the diagnostic sensitivity of transvaginal ultrasound to the uterine horn pregnancy was 82.67% and the specificity was 80.00%. The positive predictive value was 98.41%, the negative predictive value was 23.53%, and the accuracy rate was 82.50%. The accuracy, sensitivity, specificity and negative predictive value of transvaginal ultrasonography in the diagnosis of uterine horn pregnancy were significantly higher than that of transabdominal ultrasonography (P0.05). The accuracy, sensitivity, specificity, positive predictive value and negative predictive value of abdominal ultrasound combined with transvaginal ultrasound were 90.00%, 90.67%, 80.00%, 98.55%, 36.36%, respectively. Conclusion Compared with abdominal ultrasonography, transvaginal ultrasonography is more accurate in the diagnosis of uterine horn pregnancy, and the combination of the two methods can effectively improve the diagnostic sensitivity and accuracy of the uterine horn pregnancy, and can provide an effective basis for the early diagnosis and treatment of the uterine horn pregnancy.
【作者单位】：宝鸡市中医医院超声科;
【分类号】：R714.224;R445.1

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