摘要
目的:研究阴道彩色多普勒超声用于早孕期妊娠合并宫颈蜕膜息肉样病变诊断的价值。方法:选取2022年9月~2023年9月邹城市妇幼保健计划生育服务中心收治的40例早孕期妊娠合并宫颈蜕膜息肉样病变的患者作为观察组,选择同期健康体检女性40例作为对照组,均完成阴道超声检查。比较两组的临床诊断效能。结果:观察组蜕膜厚度(4.32±0.51)mm、PSV(5.37±0.16)cm/s和EDV(3.42±0.13)cm/s均低于对照组[(7.24±0.55)mm、(6.22±0.18)cm/s、(4.08±0.15)cm/s],RI(0.46±0.05)、PI(0.69±0.06)均高于对照组(0.34±0.08、0.58±0.05),差异有统计学意义(P<0.05)。观察组共检出34例(85.00%)宫颈蜕膜息肉样病变,与病理结果无明显差异(P>0.05)。不同孕周检出率和蜕膜厚度不同,孕周在4周和孕8~10周检出率和蜕膜厚度最高。40例患者中有4例(10.00%)脱出宫颈外口较大,表现为宫腔内部,妊娠囊周围蜕膜组织回声降低。6例(15.00%)患者无明显血流信号反馈,8例(20.00%)患者获得了点状或短状信号,26例(65.00%)患者可在检查中探及宫腔下段的动脉血流。结论:阴道超声在早孕期妊娠合并宫颈蜕膜息肉样病变的诊断中有较高的检出率,能无创安全检出疾病,且能观察到蜕膜厚度和血液供应的异常变化,用于临床诊断中具有积极意义。
Objective:To study the clinical diagnosis of decidua polypoid lesions in early pregnancy with vaginal color Doppler ultrasound.Methods:40 cases of early pregnancy with deciduous cervical polypoid lesions admitted to Zoucheng Maternal and Child Health Care and Family Planning Service Center from September 2022 to September 2023 were selected as the observation group,and 40 healthy women were selected as the control group during the same period.All of them completed vaginal ultrasound examination.The clinical diagnostic efficacy of the two groups was compared.Results:The decidual thickness(4.32±0.51)mm,PSV(5.37±0.16)cm/s and EDV(3.42±0.13)cm/s were lower than the control group[(7.24±0.55)mm,(6.22±0.18)cm/s,(4.08±0.015)cm/s],RI(0.46±0.05)and PI(0.69±0.06)were higher than the control group(0.34±0.08,0.58±0.05),with statistically significant differences(P<0.05).A total of 34(85.00%)cases of decidua polypoid lesions were detected in the observation group,and there was no significant difference with the pathological results(P>0.05).The detection rate and decidual thickness were different in different gestational weeks.The highest detection rate and decidual thickness were found at 4 weeks and 8-10 weeks.Of the 40 patients,4(10.00%)had large extrinsic cervix opening,which was manifested as intrauterine cavity and decreased echo of decidual tissue around gestational sac.In 6(15.00%)patients,there was no obvious blood flow signal feedback,8(20.00%)patients obtained punctate or short signals,and 26(65.00%)patients could detect the arterial flow in the lower uterine segment during examination.Conclusion:Vaginal ultrasound has a high detection rate in the diagnosis of decidual polypoid lesions in early pregnancy,and can safely detect the disease without invasive,and can observe the abnormal changes of decidual thickness and blood supply,which has positive significance in clinical diagnosis.
作者
王婷
王彦辉
赵传武
WANG Ting;WANG Yan-hui;ZHAO Chuan-wu(Zoucheng Maternal and Child Health Care and Family Planning Service Center,Shandong Zoucheng 273500;Imaging Department,Affiliated Hospital of Jining Medical College,Shandong Jining 272029;Peking University People's Hospital Qingdao Hospital(Qingdao Women and Children's Hospital),Shandong Qingdao 266100)
出处
《中国医疗器械信息》
2024年第20期126-128,共3页
China Medical Device Information
基金
济宁市重点研发项目(项目名称:基于影像学对颈动脉狭窄手术治疗效果的关键技术研究,项目编号:2022YXNS036)。
关键词
经阴道超声
早孕期妊娠
宫颈蜕膜息肉样病变
诊断率
transvaginal ultrasound
early pregnancy
polypoid lesions of decidua cervix
diagnostic rate