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目的:探讨经阴道多普勒超声结合改变体位对于输卵管妊娠未破裂型与妊娠黄体囊肿鉴别诊断的价值,提高早期宫外孕的诊断率。方法:选择自2014年1月~2015年6月在我院妇产科就诊的168例女性患者作为研究对象,采用经阴道多普勒超声结合改变体位法,对79例输卵管输卵管妊娠未破裂型与89例妊娠黄体囊肿的大小、环壁厚度、内部回声、血流分布特征、血流动力学参数,结合改变体位后包块与卵巢相对位置的变化进行比较分析。结果:两组患者在包块大小、环壁厚度两方面无显著地统计学差异(P>0.05);在内部回声、血流分布特征方面、收缩期峰值速度和阻力指数比较差异具有显著的统计学意义(P<0.05);通过改变体位后,宫外孕未破裂型患者中有74例(93.67%)患者的包块与同侧卵巢相对位置发生了变化;而在89例妊娠黄体囊肿患者中,其位置均未见改变,两组差异具有统计学意义(P<0.05)。结论:经阴道彩色多普勒超声结合改变体位法对输卵管妊娠未破裂型和妊娠黄体囊肿的鉴别诊断有重要的价值。
Objective: To investigate the value of transvaginal Doppler ultrasound in combination with changing position for the differential diagnosis of unruptured tubal pregnancy and corpus luteum cyst and to improve the diagnostic rate of early ectopic pregnancy. Methods: A total of 168 female patients treated in our department from January 2014 to June 2015 were enrolled in this study. Transvaginal Doppler ultrasound combined with the change of position method was used to investigate the clinical features of 79 cases of tubal pregnancy without rupture And 89 cases of pregnancy corpus luteum cyst size, wall thickness, internal echo, blood flow distribution characteristics, hemodynamic parameters, combined with changes in post-mass and ovarian relative position changes were compared. Results: There was no significant difference between the two groups in the size of the mass and the thickness of the annular wall (P> 0.05). In terms of internal echo and distribution of blood flow, the differences of peak velocity and resistance index in systole were statistically significant (P <0.05). The relative position of mass and ipsilateral ovary in 74 patients (93.67%) with unruptured ectopic pregnancy changed by changing the position, while in 89 patients with gestational luteal cyst, No changes were found in their location. The difference between the two groups was statistically significant (P <0.05). Conclusion: Transvaginal color Doppler ultrasound combined with the change of position method is of great value in differential diagnosis of unruptured tubal pregnancy and luteal cyst.