贵州医科大学学报

2016, v.41;No.193(10) 1212-1215

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二维超声及彩色多普勒对未破裂型输卵管妊娠的诊断价值
Diagnosis Value of 2-Dimensional Ultrasound and Color Doppler on Non Ruptured Tubal Pregnancy

蔡蓉;张屹辉;
CAI Rong;ZHANG Yihui;Ultrasonography Department,Wuxi City Maternal and Child Health Care Hospital;

摘要(Abstract):

目的:探讨二维超声及彩色多普勒对未破裂型输卵管妊娠(UTP)的诊断价值。方法:65例UTP患者作为观察组,同期50例宫内早早孕并且伴有妊娠黄体妇女作为对照组,采用二维超声及彩色多普勒对观察组输卵管与对照组妊娠黄体进行扫描检查,比较2组被检者超声声像图混合性包块回声强度、相对位置、边界及环壁厚度,彩色多普勒血流显像(CDFI)混合性包块声像图血供形状、血运的阻力指数(RI)、收缩期峰值速度(PSV)及血流显示类型。结果:以同侧卵巢对比,观察组患者混合性包块回声以略强为主,对照组以中等为主(P<0.05);观察组包块以卵巢内侧为主,对照组妊娠黄体以卵巢内部为主(P<0.05);观察组包块周边环形回声边界内外环光滑规则且清楚,而对照组较模糊;观察组CDFI声像图血供以星点状、半环状、线条状为主,而对照组以半环状、花环状为主(P<0.05);观察组血流参数RI高于对照组(P<0.05),PSV则无差异(P>0.05);观察组CDFI血流以动脉显示为主,与对照组比较,差异有统计学意义(P<0.05);UTP超声声像图以"输卵管环"型最常见(67.69%),非特异性包块型直径大于"输卵管环"型和胎心胎囊型(P<0.05)。结论:二维超声结合彩色多普勒扫描检查有助于早期诊断UTP。
Objective: To investigate diagnosis value of two-dimensional ultrasound and Color Doppler on non-ruptured tubal pregnancy. Methods: 65 cases of non-ruptured tubal pregnancy patients as observation group,50 cases of early pregnant in uterus combined with formation of pregnant corpus luteum as control group. Adopting two-dimensional ultrasound and Color Doppler to scan nonruptured tube of observation group and pregnant corpus luteum of control group; comparing mixed echo intensity,relative location,annular wall thickness of ultrasonic features of both groups; CDFI feature of ultrasonic sonogram blood supply shape of mixed-mass, RI, PSV and blood flow display type.Results: Comparing with ipsilateral ovary,mixed mass echo of observation group was mainly stronger,control group was mainly medium size( P < 0. 05); mass of observation group located mainly in medialis ovary,while formation of pregnant corpus luteum of control group located mainly inside ovary( P <0. 05); outer & inner rings of echo boundary surrounding the mass of observation group was smooth,regular and clear,while control group was ambiguous; blood supply CDFI sonogram of observation group was mainly star-shaped,half ring and line-shaped,while control group was mainly half ring and flower shaped( P < 0. 05); blood index RI of observation group was higher than control group( P <0. 05),PSV showed no difference( P > 0. 05); CDFI blood of observation group was mainly on artery,comparing with control group,difference was statistically significant( P < 0. 05); 'tubal ring' was commonly seen in ultrasound sonogram( 67. 69%); non-specific mass diameter was bigger than 'tubal ring' and fetal heart fetal sac( P < 0. 05). Conclusion: Two-dimensional ultrasound and Color Doppler is effective in diagnosing early UTP.

关键词(KeyWords): 妊娠,输卵管;妊娠;超声;超声检查,多普勒,彩色;诊断
pregnancy,tubal;pregnancy;ultrasound;ultrasonography,Doppler;color;diagnosis

Abstract:

Keywords:

基金项目(Foundation): 无锡市卫生局科研项目(MS201434)

作者(Author): 蔡蓉;张屹辉;
CAI Rong;ZHANG Yihui;Ultrasonography Department,Wuxi City Maternal and Child Health Care Hospital;

Email:

DOI: 10.19367/j.cnki.1000-2707.2016.10.021

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