摘要
目的:分析经阴道超声诊断早期异位妊娠相关影响因素.方法:回顾性分析2020年1月-2022年12月本院就诊经阴道超声诊断为疑似早期异位妊娠213例临床资料,根据手术病理结果分析诊断准确率,利用logistic回归模型分析影响诊断准确率相关因素.结果:213例疑似病例病理检查确诊167例,诊断准确率78.4%.其中不均质包块型(孕囊破裂)为12例(5.6%),输卵管环型98例(46.0%),孕囊型33例(15.5%),胚芽型24例(11.3%).单因素分析显示,不同体质指数、盆腔积液、血清绒毛膜促性腺激素(β-hCG)检查情况以及不明部位妊娠情况者超声诊断准确率有差异(P<0.05);多因素logistic回归模型分析显示,体质指数≥28.0kg/m^(2)、有盆腔积液、血清β-hCG检查以及不明部位妊娠是影响经阴道超声诊断准确性的独立影响因素(均P<0.05).结论:对疑似异位妊娠进行超声诊断时,对肥胖患者以及有盆腔积液、不明部位妊娠情况的患者,应尽量结合血清β-hCG检查,以提高超声诊断准确率.
Objective:To analyze the related factors afecting the accuracy of transvaginal ultrasonography for diagno-sing the early ectopic pregnancy.Methods:A retrospective analysis was conducted on the clinical data of 213 patients with early suspected ectopie pregnancy screening by transvaginal ultrasound from January 2020 to December 2022.The accuracy rate of the transvaginal ultrasonography diagnosis of ectopic pregnancy was evaluated by the subsequent surgical and pathological results.Logistic regression model was used to analyze the related factors afecting the accuracy of transvaginal ultrasonography of the patients for diagnosing their early ectopic pregnancy.Results:In 213 patients with the suspected carly ectopic Pregnancy,there were 167 cases with the confirmed ectopic pregnancy,and the accuracy rate of the transvaginal ultrasound of the patients for diagnosing their early ectopic pregnancy was 78.4%.Among them,there were 12(5.6%)patients with heterogeneous mass type(gestational sac rupture),98(46.0%)patients with fallopian tube ring type,33(15.5%)patients with gestational sac type,and 24(11.3%)patients with embryonic sac type.Single factor analysis showed that there was significant dfference in the diagnostic accuracy by ultrasound among the patients with different walue of body mass indices(BMD),among the patients with different pelvic fluid accumulation situation,and among the patients with different serum human chorionic gonadotropin(β-hCG)level(P<0.05).Multivariate logistic regression model analysis showed that the BMI≥28.0 kg/m^(2),the pelvic fluid accumulation,the serumβHCG level and the unknown site pregnancy of the patients were the independent influencing factors afecting the accuracy of transvaginal ultrasound diagnosis of the ectopic pregnancy(all P<0.05).Conclusion:When the patients with suspected ectopic pregnancy are diagnosed by ultrasound,the obese patients,the patients with pelvic effusion,and the patients with pregnancy at unknown sit should be combined with the serumβ-hCG level for diagnosis,so as to improwe the accuracy of the ultrasound diagnosis of ectopic pregnancy.
作者
叶秀琴
陈阳
边焕杰
谢乐燕
YE Xiuqin;CHEN Yang;BIAN Huanjie;XIE Yueyan(Zhuji Maternal and Child Health Care Hospital,Zhuji,Zhejiang Province,311800;Shaoxing Maternal and Child Health Care Hospital,Zhejiang Province)
出处
《中国计划生育学杂志》
2024年第1期154-157,共4页
Chinese Journal of Family Planning
关键词
异位妊娠
经阴道超声检查
诊断
影响因素
Ectopic pregnancy
Transvaginal ultrasound examination
Diagnosis
Influencing factor
