论文部分内容阅读
目的探讨彩色多普勒(CDFI)超声检测异位妊娠卵巢黄体血流变化的临床价值。方法1998-02-2005-10广州医学院第二附属医院和广东增城市人民医院运用CDFI分别对20例胚胎存活型异位妊娠,36例流产型异位妊娠和45例宫内妊娠孕妇黄体血流动力学参数(收缩期峰值流速SPV、阻力指数RI)进行统计学处理和对照分析,并观察卵巢内黄体血流分布特点。结果胚胎存活型异位妊娠组黄体血流峰值、血流阻力指数与宫内妊娠组比较无明显差异。流产型异位妊娠组黄体血流峰值明显低于宫内妊娠组及胚胎存活型异位妊娠组(P<0.01),而血流阻力指数则高于宫内妊娠组及胚胎存活型异位妊娠组(P<0.01)。结论CDFI检测卵巢黄体血流对诊断是否存在异位妊娠无明显意义,但对异位妊娠中胚胎是否存活具有较高的诊断价值。
Objective To investigate the clinical value of color Doppler (CDFI) in the detection of corpus luteum blood flow changes in ectopic pregnancy. Methods 1998-02-2005-10 Second Affiliated Hospital of Guangzhou Medical College and Zengcheng People’s Hospital of Guangdong used CDFI to detect the survival rate of 20 cases of embryo viable ectopic pregnancy, 36 cases of miscarriage ectopic pregnancy and 45 cases of intrauterine pregnancy Flow parameters (systolic peak velocity SPV, resistance index RI) were statistically analyzed and compared. The distribution of intracoronary luteal flow in the ovary was also observed. Results There was no significant difference in luteal flow peak and blood flow resistance index between embryo surviving ectopic pregnancy group and intrauterine pregnancy group. The peak of luteal flow in abortion group was significantly lower than that in intrauterine pregnancy group and embryo surviving ectopic pregnancy group (P <0.01), but the blood flow resistance index was higher than those in intrauterine pregnancy group and embryo surviving ectopic pregnancy group Group (P <0.01). Conclusion CDFI detection of ovarian luteal flow on the diagnosis of the existence of ectopic pregnancy is not significant, but whether the survival of embryos in ectopic pregnancy has a high diagnostic value.