中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
2期
70-72
,共3页
朱芬芳%李红霞%王文云%郑彤彤
硃芬芳%李紅霞%王文雲%鄭彤彤
주분방%리홍하%왕문운%정동동
阴道超声%血β-HCG%输卵管妊娠%药物治疗
陰道超聲%血β-HCG%輸卵管妊娠%藥物治療
음도초성%혈β-HCG%수란관임신%약물치료
Translational ultrasound%Serum β-HCG%Tubal pregnancy%Drug treatment
目的:对阴道超声检查与血β-HCG 检测对输卵管妊娠药物治疗的指导作用展开研究分析。方法:随机选取我院接收的60例异位妊娠患者,在行阴道超声检查后给予保守药物治疗,对比治疗前后超声检查特点及血β-HCG 水平进行观察。结果:60例患者经阴道超声检查后,宫腔内未见孕囊,而子宫一侧或者卵巢可见典型的“输卵管环征”包块,直径均不足4.0cm。治疗前后超声检查血流分级,各个等级例数对比,数据差异具有统计学意义(P 均<0.05);治疗后血β-HCG、PSV、EDV 以及 RI 与治疗前之间对比,数据差异具有统计学意义(P 均<0.05),血β-HCG、PSV、EDV 越低表示治疗效果越好;RI 越小表示血流丰富,治疗效果越差。结论:阴道超声检查与血β-HCG 检测可用于药物治疗输卵管妊娠的筛选;超声检查血流分级越高,血β-HCG、PSV、EDV 越高,滋养动脉血流阻力指数越小,预示药物治疗效果不理想,需行手术治疗。
目的:對陰道超聲檢查與血β-HCG 檢測對輸卵管妊娠藥物治療的指導作用展開研究分析。方法:隨機選取我院接收的60例異位妊娠患者,在行陰道超聲檢查後給予保守藥物治療,對比治療前後超聲檢查特點及血β-HCG 水平進行觀察。結果:60例患者經陰道超聲檢查後,宮腔內未見孕囊,而子宮一側或者卵巢可見典型的“輸卵管環徵”包塊,直徑均不足4.0cm。治療前後超聲檢查血流分級,各箇等級例數對比,數據差異具有統計學意義(P 均<0.05);治療後血β-HCG、PSV、EDV 以及 RI 與治療前之間對比,數據差異具有統計學意義(P 均<0.05),血β-HCG、PSV、EDV 越低錶示治療效果越好;RI 越小錶示血流豐富,治療效果越差。結論:陰道超聲檢查與血β-HCG 檢測可用于藥物治療輸卵管妊娠的篩選;超聲檢查血流分級越高,血β-HCG、PSV、EDV 越高,滋養動脈血流阻力指數越小,預示藥物治療效果不理想,需行手術治療。
목적:대음도초성검사여혈β-HCG 검측대수란관임신약물치료적지도작용전개연구분석。방법:수궤선취아원접수적60례이위임신환자,재행음도초성검사후급여보수약물치료,대비치료전후초성검사특점급혈β-HCG 수평진행관찰。결과:60례환자경음도초성검사후,궁강내미견잉낭,이자궁일측혹자란소가견전형적“수란관배정”포괴,직경균불족4.0cm。치료전후초성검사혈류분급,각개등급례수대비,수거차이구유통계학의의(P 균<0.05);치료후혈β-HCG、PSV、EDV 이급 RI 여치료전지간대비,수거차이구유통계학의의(P 균<0.05),혈β-HCG、PSV、EDV 월저표시치료효과월호;RI 월소표시혈류봉부,치료효과월차。결론:음도초성검사여혈β-HCG 검측가용우약물치료수란관임신적사선;초성검사혈류분급월고,혈β-HCG、PSV、EDV 월고,자양동맥혈류조력지수월소,예시약물치료효과불이상,수행수술치료。
Objectives:To research and analyze the guiding effect of vaginal ultrasound and serum β-HCG detection on medication treatment of tubal pregnancy.Methods:60 patients with ectopic pregnancy in our hospital were randomly selected and given conservative drug therapy after vaginal ultrasound examination.The ultrasound characteristics and serum β-HCG levels before and after treatment were observed and compared.Results:After vaginal ultrasound examination,all the 60 patients did not see intrauterine pregnancy sac,which was typically seen in the side of the uterus or ovarian "tubal ring"mass,less than 4.0 cm in diameter.Grading ultrasound blood flow before and after the treatment,there was statistically significant difference in the number of cases of each level (P <0.05);after treatment,the serum β-HCG,PSV,EDV and RI,compared with that before treatment,were of sta-tistically significant difference (P <0.05),the lower the better;the smaller the RI meant rich blood flow,with poor treatment effect.Conclusion:Vaginal ultrasound and serum β-HCG detection can be used in the screening of drug treatment of tubal pregnancy;the higher of ultrasound blood flow classification,the higher of serum β-HCG, PSV,EDV,and the smaller of artery blood flow resistance index,indicating poor drug treatment effect which re-quires surgical treatment.