经阴道三维超声应用于输卵管间质部妊娠及宫角妊娠诊断及鉴别意义分析

Analysis on significance of transvaginal three-dimensional ultrasound for diagnosis and differentiation of interstitial tubal pregnancy and cornual pregnancy

目的用经阴道三维超声诊断及鉴别输卵管间质部妊娠患者及宫角妊娠患者,并分析其临床意义。方法选取2016年3月~2017年5月于我院妇科接受手术治疗的输卵管间质部妊娠患者及宫角妊娠患者共70例进行临床实验,经手术和病理监测确诊为输卵管间质部妊娠的患者有40例,确诊为宫角妊娠的患者有30例。分别对这两种不同异位妊娠的患者进行经阴道三维超声检查,并进行鉴别。结果经实验研究可知,经阴道三维超声检查可以确诊为输卵管间质部妊娠的患者有38例(95.00%),其中超声表现为孕囊型的患者有15例,不典型的患者有12例,破裂型的患者有11例;经阴道三维超声检查可以确诊为宫角妊娠的患者有27例(90.00%),其中超声表现为孕囊型的患者有12例,不典型的患者有8例,破裂型的患者有7例。经阴道三维超声对输卵管间质部妊娠患者和宫角妊娠患者的确诊率相比差异无统计学意义(P>0.05)。结论经阴道三维超声诊断输卵管间质部妊娠患者和宫角妊娠患者均有很高的确诊率,在临床中可以帮助输卵管间质部妊娠患者和宫角妊娠患者尽早确诊,使患者尽早接受治疗,从而提高临床效果,因此,在临床上可以大力推荐这种影像诊断方式。

Objective To diagnose and identify patients with interstitial tubal pregnancy and cornual pregnancy by transvaginal three-dimensional ultrasound and to analyze its clinical significance. Methods 70 patients with interstitial tubal pregnancy and cornual pregnancy who underwent surgery in department of gynecology in our hospital from March 2016 to May 2017 were enrolled in this clinical trial.After surgical and pathological monitoring,40 patients were diagnosed as interstitial tubal pregnancy and 30 patients were diagnosed as cornual pregnancy.Patients with these two different ectopic pregnancies were examined and identified by transvaginal three-dimensional ultrasound. Results After experimental study,38 patients(95.00%) were diagnosed as interstitial tubal pregnancy by transvaginal three-dimensional ultrasonography.Among them,there were 15 patients with cystic type of pregnancy,12 patients with atypical type and 11 patients with rupture type.27 patients(90.00%) were diagnosed as cornual pregnancy by t transvaginal three-dimensional ultrasound.Among them,there were 12 patients with cystic type of pregnancy,8 patients with atypical type and 7 patients with rupture type.There was no statistically significant difference in the diagnosis rate of interstitial tubal pregnancy and cornual pregnancy by transvaginal three-dimensional ultrasound(P > 0.05). Conclusion Transvaginal three-dimensional ultrasound has high diagnosis rates in patients with interstitial tubal pregnancy and cornual pregnancy,which can help patients with interstitial tubal pregnancy and cornual pregnancy to be diagnosed as soon as possible so as to improve clinical curative effects.Therefore,this imaging diagnosis method can be strongly recommended in the clinical practice.