摘要
本文探讨复发性自然流产(RSA)患者子宫内膜超声多模态评分的变化及其意义。选取确诊的RSA患者134例作为RSA组、选取具有生育史但无自然流产史的年龄相近妇女130例作为对照组;对比两组的一般资料、生殖激素水平、子宫内膜超声多模态评分、并分析子宫内膜超声多模态评分与RSA的关系。经检验,RSA组子宫动脉的搏动指数(PI)、阻力指数(RI)及收缩末期峰值/舒张末期峰值(S/D)均高于对照组,差异均具有统计学意义(P<0.05);RSA组子宫内膜超声多模态评分低于对照组,差异均具有统计学意义(P<0.05);绘制ROC曲线结果显示:子宫内膜超声多模态评分预测发生RSA的ROC曲线下面积(AUC)为0.849、灵敏度为89.31%、特异度为76.44%。子宫内膜超声多模态评分对于RSA患者子宫内膜容受性具有较高的评估作用,同时可以作为临床上预测RSA发生的监测指标。
This paper discussed the change and significance of endometrial ultrasound multimodal score in patients with recurrent spontaneous abortion(RSA). 134 cases of RSA patients diagnosed were selected as the RSA group, and 130 women of similar age with a history of childbirth but no history of spontaneous abortion were selected as the control group;the general clinical data, reproductive hormone levels, and endometrium of the two groups were compared Ultrasound multimodal score, and analyze the relationship between endometrial ultrasound multimodal score and RSA. After testing, the uterine artery pulsatility index, resistance index and end-systolic peak/end-diastolic peak values of the RSA group were higher than those of the control group, and the differences were all computationally significant(P<0.05). The endometrial ultrasound multimodal score in the RSA group was lower than that in the control group, and the differences were all computationally significant(P<0.05). The results of drawing the ROC curve showed that the AUC value of the area under the ROC curve for predicting the occurrence of RSA by the multimodal endometrial ultrasound score was 0.849, the sensitivity was 89.31%, and the specificity was 76.44%. Endometrial ultrasound multimodal score has a high evaluation effect on the endometrial receptivity of patients with RSA, and can be used as a clinical monitoring index to predict the occurrence of RSA.
作者
崔雪婷
王敏
刘茜茜
刘喆
CUI Xueting;WANG Min;LIU Qianqian;LIU Zhe(No.964 Hospital of PLA,Changchun 130062,Jilin,P.R.China)
出处
《影像科学与光化学》
CAS
北大核心
2022年第1期33-37,共5页
Imaging Science and Photochemistry
关键词
复发性自然流产
子宫内膜
超声多模态评分
recurrent spontaneous abortion
endometrium
ultrasound multimodality score
