经阴道超声联合3.0T 磁共振成像用于异位妊娠诊断的价值

doi:10.13491/j.issn.1004-714X.2024.02.015

中国辐射卫生

2024, Vol. 33

Issue (2): 195-199 DOI: 10.13491/j.issn.1004-714X.2024.02.015

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经阴道超声联合3.0T 磁共振成像用于异位妊娠诊断的价值

李建国¹, 李蓉¹, 蒋代彬², 杨腊梅¹, 谭彦¹, 涂媛³

1. 四川省达州市达川区人民医院超声医学科, 四川达州 635000;
2. 四川省达州市达川区人民医院医学影像科,四川达州 635000;
3. 四川省成都市第二人民医院病理科, 四川成都 610017

Value of transvaginal ultrasound combined with 3.0T magnetic resonance imaging for the diagnosis of ectopic pregnancy

LI Jianguo¹, LI Rong¹, JIANG Daibin², YANG Lamei¹, TAN Yan¹, TU Yuan³

1. Department of Ultrasound Medicine, Dachuan People’s Hospital, Dazhou 635000 China;
2. Department of Medical Imaging, Dachuan People’s Hospital, Dazhou 635000 China;
3. Department of Pathology, Chengdu Second People’s Hospital, Chengdu 610017 China

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摘要目的比较经阴道超声、3.0T磁共振成像（MRI）扫描以及经阴道超声联合3.0T MRI扫描用于异位妊娠诊断的价值，为异位妊娠早期筛查提供参考依据。方法以2019年2月—2022年12月在四川省达州市达川区人民医院就诊的130例疑似异位妊娠患者为研究对象，所有患者均接受经阴道超声、3.0T MRI扫描检查，以手术病理或临床随访结果为金标准，评价经阴道超声、MRI检查与临床诊断结果的一致性，比较经阴道超声、3.0T MRI扫描以及经阴道超声联合3.0T MRI扫描诊断异位妊娠的敏感度、特异度、准确度。结果 130例疑似异位妊娠患者中，108例经手术病理确诊为异位妊娠、22例经随访确诊为非异位妊娠。经阴道超声诊断异位妊娠的敏感度、特异度、准确度分别为85.19%（92/108）、54.55%（12/22）、80.00%（104/130），与临床诊断结果的一致性为0.358。3.0T MRI扫描诊断异位妊娠的敏感度、特异度、准确度分别为92.59%（100/108）、81.81%（18/22）、90.77%（118/130），与临床诊断结果的一致性为0.694。经阴道超声联合3.0T MRI扫描诊断异位妊娠的敏感度、特异度、准确度分别为98.15%（106/108）、72.73%（16/22）、93.85%（122/130），与临床诊断结果的一致性为0.764。经阴道超声联合3.0T MRI扫描诊断异位妊娠的敏感度（χ² = 11.88，P < 0.01）和准确度（χ² = 10.96，P < 0.01）均明显高于经阴道超声。结论经阴道超声联合3.0T MRI扫描可为异位妊娠提供更丰富诊断信息，与临床诊断结果一致性较高，且相较单纯经阴道超声检查能提高诊断敏感度、准确度。

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关键词 ：磁共振成像, 经阴道超声, 异位妊娠, 诊断效能

收稿日期: 2023-10-26

PACS:

R445

基金资助:四川省科技计划项目（2020YFG0377）

通讯作者: 李蓉,E-mail:827901747@qq.com E-mail: 827901747@qq.com

作者简介: 李建国(1981-),男,四川达州人,本科,副主任医师,主要从事妇产超声诊断研究,E-mail:15928258800@163.com

引用本文:

李建国, 李蓉, 蒋代彬, 杨腊梅, 谭彦, 涂媛. 经阴道超声联合3.0T 磁共振成像用于异位妊娠诊断的价值[J]. 中国辐射卫生, 2024, 33(2): 195-199.
LI Jianguo, LI Rong, JIANG Daibin, YANG Lamei, TAN Yan, TU Yuan. Value of transvaginal ultrasound combined with 3.0T magnetic resonance imaging for the diagnosis of ectopic pregnancy. Chinese Journal of Radiological Health, 2024, 33(2): 195-199.

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http://www.zgfsws.com/CN/10.13491/j.issn.1004-714X.2024.02.015 或 http://www.zgfsws.com/CN/Y2024/V33/I2/195

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