CAJ | 학술논문

目的：探讨经阴道超声对妊娠黄体囊肿与宫外孕未破裂型的诊断价值。方法选取我院妇产科35例妊娠黄体囊肿患者和40例宫外孕未破裂型患者行阴道彩色多普勒超声检查，观察妊娠黄体囊肿患者黄体大小及血流频谱，观察宫外孕未破裂型患者附件包块的大小及血流频谱。结果妊娠黄体囊肿常规声像图表现为：低回声型，厚壁囊肿型，薄壁囊肿内部回声型，薄壁囊肿型；宫外孕未破裂型表现为大小不一的包块。妊娠黄体囊肿患者血流多为半环状和环状血流信号，均来自卵巢内；而未破裂型宫外孕患者血流则多为点状和条状血流，均不来源于卵巢，两组比较有统计学差异（P ＜0.05）。妊娠黄体囊肿患者多表现为低阻力和高阻力血流频谱；宫外孕未破裂型患者则表现为各型血流频谱，两组比较有统计学差异（P ＜0.05）。妊娠黄体囊肿患者的 PI 和 RI 均低于宫外未破裂型患者，差异具有统计学意义（t=-3.531，-4.262，P ＜0.05）。结论经阴道超声检查能够鉴别和诊断妊娠黄体囊肿与宫外孕未破裂型，值得推广应用于临床。
목적：탐토경음도초성대임신황체낭종여궁외잉미파렬형적진단개치。방법선취아원부산과35례임신황체낭종환자화40례궁외잉미파렬형환자행음도채색다보륵초성검사，관찰임신황체낭종환자황체대소급혈류빈보，관찰궁외잉미파렬형환자부건포괴적대소급혈류빈보。결과임신황체낭종상규성상도표현위：저회성형，후벽낭종형，박벽낭종내부회성형，박벽낭종형；궁외잉미파렬형표현위대소불일적포괴。임신황체낭종환자혈류다위반배상화배상혈류신호，균래자란소내；이미파렬형궁외잉환자혈류칙다위점상화조상혈류，균불래원우란소，량조비교유통계학차이（P ＜0.05）。임신황체낭종환자다표현위저조력화고조력혈류빈보；궁외잉미파렬형환자칙표현위각형혈류빈보，량조비교유통계학차이（P ＜0.05）。임신황체낭종환자적 PI 화 RI 균저우궁외미파렬형환자，차이구유통계학의의（t=-3.531，-4.262，P ＜0.05）。결론경음도초성검사능구감별화진단임신황체낭종여궁외잉미파렬형，치득추엄응용우림상。
Objective To investigate the value of transvaginal ultrasound in the differential diagnosis of corpus luteum and unruptured ectopic pregnancy. Methods 35 cases of pregnancy corpus luteum cyst patients and 40 patients with unruptured ectopic pregnancy transvaginal color Doppler sonography in obstetrics and gynecology were chosen.The corpus luteum cyst size and blood flow in patients with luteal spectrum were observed,and adnexal mass size and flow spectrum in patients with unruptured ectopic pregnancy were observed. Results Corpus luteum cyst routine sonogram showed hypoechoic,thick-walled cyst type,thin-walled cyst internal echo pattern and thin-walled cyst type. Unruptured ectopic pregnancy showed a mass of different sizes.Corpus luteum cyst patient's bloodstream,mostly semi-circular and annular flow signals,both from within the ovary;without rupture of blood flow in patients with ectopic pregnancy are much more blood spots and stripes,are not derived from the ovary,the two groups there were significant differences (P < 0.05).Corpus luteum cysts more performance for low resistance and high resistance to flow spectrum;patients with unruptured ectopic pregnancy is manifested in various types of flow spectrum,there are significant differences between the two groups (P < 0.05).Corpus luteum cysts of PI and RI were lower in patients with unruptured ectopic,the difference was statistically significant (t=-3.531,-4.262,P < 0.05). Conclusion Transvaginal ultrasound can identify and diagnose pregnancy corpus luteum cyst with unruptured ectopic pregnancy.It is worthy for clinical application.