经阴道超声对体外受精-胚胎移植术后结局的早期诊断价值

Value of transvaginal ultrasound in early diagnosis of outcome of in vitro fertilization and embryo transfer

目的探讨经阴道超声在体外受精-胚胎移植术后结局早期诊断中的应用价值。方法对600例行体外受精-胚胎移植术者分别于胚胎移植后28 d、35 d及42 d行经阴道超声检查,以临床随访或手术病理诊断为金标准,对诊断结果进行比较分析。结果超声诊断宫内妊娠385例,临床随访诊断384例;超声诊断宫外妊娠(输卵管、卵巢、角部及腹腔妊娠)38例,临床随访诊断40例;超声诊断宫内外同时妊娠10例,临床随访诊断11例;超声诊断宫内外均未妊娠167例,临床随访诊断165例。超声诊断结果与临床随访结果比较,差异无统计学意义。结论经阴道超声对体外受精-胚胎移植术后结局早期诊断具有重要的临床价值。

Objective To evaluate the application value of transvaginal ultrasound in early diagnosis of the outcome of in vitro fertilization and embryo transfer. Methods Transvaginal ultrasound was applied on 600 patients who received the procedures of in vitro fertilization and embryo transfer 28,35 and 42 d after the operation. The results of transvaginal ultrasound were analyzed by using clinical follow-up and（or）pathologic diagnosis as golden standard. Results Three hundred and eightyfive cases of intrauterine pregnancy were confirmed by ultrasound, while 384 cases by clinical follow-up.38 cases of ectonic pregnancy were confirmed by ultrasound, while 40 cases by clinical follow-up. 10 cases of both intra- and ectopic pregnancy were confirmed by ultrasound, while 11 cases by clinical follow-up. 167 cases of no pregnancy of both intra- and ectopic uterus were confirmed by ultrasound, while 165 cases by clinical follow-up. There was no significant difference between the results of ultrasound and clinical follow-up. Conclusion Early diagnosis of in vitro fertilization and embryo transfer by transvaginal ultrasound indicates important clinical value.