国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
2期
179-181
,共3页
张丽贤%陈小霞%黎彩容%朱贤丽
張麗賢%陳小霞%黎綵容%硃賢麗
장려현%진소하%려채용%주현려
异位妊娠%半环状血流信号%经腹部超声%经阴道超声
異位妊娠%半環狀血流信號%經腹部超聲%經陰道超聲
이위임신%반배상혈류신호%경복부초성%경음도초성
Ectopic pregnancy%Semi-circular blood flow signals%By abdominal ultrasound%Transvaginal ultrasound
目的 探讨经腹部与经阴道彩超半环状血流信号对异位妊娠的超早期诊断价值,以供临床参考.方法 将我院2009年1月-2011年3月收治的疑似异位妊娠的89例患者根据孕囊是否破裂,分为破裂组和未破裂组.并选取同期正常子宫妊娠的50例孕妇作为A对照组,选择附件囊肿的47例患者作为B对照组.四组患者均采用经腹部与经阴道彩超进行检查.尤其观察四组患者的半环状血流信号.结果 经临床诊断发现,破裂组38例患者中,有22例患者出现半环状血流信号；未破裂组51例中,有35例患者中有半环状血流信号.正常妊娠组50例,31例出现此情况；附件囊肿组仅6例出现此情况.异位妊娠组与正常妊娠组孕妇的半环状血流阻力指数、收缩峰值速度差异不明显,差异无显著性(P＞0.05).结论 采用阴道超声检查对异位妊娠诊断效果更佳,两者联合使用可提高临床诊断率,而半环状血流信号可作为判断异位妊娠和早期妊娠的临床依据.
目的 探討經腹部與經陰道綵超半環狀血流信號對異位妊娠的超早期診斷價值,以供臨床參攷.方法 將我院2009年1月-2011年3月收治的疑似異位妊娠的89例患者根據孕囊是否破裂,分為破裂組和未破裂組.併選取同期正常子宮妊娠的50例孕婦作為A對照組,選擇附件囊腫的47例患者作為B對照組.四組患者均採用經腹部與經陰道綵超進行檢查.尤其觀察四組患者的半環狀血流信號.結果 經臨床診斷髮現,破裂組38例患者中,有22例患者齣現半環狀血流信號；未破裂組51例中,有35例患者中有半環狀血流信號.正常妊娠組50例,31例齣現此情況；附件囊腫組僅6例齣現此情況.異位妊娠組與正常妊娠組孕婦的半環狀血流阻力指數、收縮峰值速度差異不明顯,差異無顯著性(P＞0.05).結論 採用陰道超聲檢查對異位妊娠診斷效果更佳,兩者聯閤使用可提高臨床診斷率,而半環狀血流信號可作為判斷異位妊娠和早期妊娠的臨床依據.
목적 탐토경복부여경음도채초반배상혈류신호대이위임신적초조기진단개치,이공림상삼고.방법 장아원2009년1월-2011년3월수치적의사이위임신적89례환자근거잉낭시부파렬,분위파렬조화미파렬조.병선취동기정상자궁임신적50례잉부작위A대조조,선택부건낭종적47례환자작위B대조조.사조환자균채용경복부여경음도채초진행검사.우기관찰사조환자적반배상혈류신호.결과 경림상진단발현,파렬조38례환자중,유22례환자출현반배상혈류신호；미파렬조51례중,유35례환자중유반배상혈류신호.정상임신조50례,31례출현차정황；부건낭종조부6례출현차정황.이위임신조여정상임신조잉부적반배상혈류조력지수、수축봉치속도차이불명현,차이무현저성(P＞0.05).결론 채용음도초성검사대이위임신진단효과경가,량자연합사용가제고림상진단솔,이반배상혈류신호가작위판단이위임신화조기임신적림상의거.
Objective To evaluate abdominal and transvaginal ultrasound semi-circular blood flow signals on the ultra-early diagnosis of ectopic pregnancy over the value for clinical reference.Methods 89 patients in our hospital from January 2009 to March 2011 were treated with suspected ectopic pregnancy according to gestational sac broken or not,divided into broken group and non-broken group.And we selected the same period in normal uterine pregnancy,50 cases of pregnant women as control group A,selected the attachment cyst as the B control group patients(47 cases).4 patients were treated by abdominal and transvaginal ultrasound examination.In particular,we observed the four groups of patients with semi-circular blood flow signals.Results Results were statistically analyzed.The clinical diagnosis found that among the 38 patients of rupture group,22 patients had semi-circular flow signals; 51 patients in unruptured group,35 patients with semi-circular blood flow signals.Among 50 cases in normal pregnancy group,31 cases of this situation; attachment cyst group,only 6 cases of this situation.Ectopic pregnancy group of pregnant women with normal pregnancy group semi-circular blood flow resistance index,systolic peak velocity had no significant difference by statistical analysis,P＞ 0.05,the difference was not statistically significant.Conclusion The effect of using transvaginal ultrasound diagnosis of ectopic pregnancy is better,their combination can improve the clinical diagnosis,and semi-circular blood flow signals could be used as ectopic pregnancy and early pregnancy clinical basis.
