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目的经阴道三维超声成像诊断宫外孕的应用价值。方法选取30例宫外孕患者,对患者分别实施经阴道三维超声成像诊断方式和二维超声诊断方式,其中有24例患者手术得到结果证实,剩下7例患者采用保守治疗方式。结果对患者实施经阴道三维超声成像诊断过程后,图像采集时间大约为5~10 s,手动三维重建时间大约为10~15 s,图像分为组织灰阶图和彩色多普勒血流图。患者的病灶部位:左输卵管病变患者14例,右输卵管患者16例。24例患者开展手术治疗,输卵管妊娠位于间质部患者1例,峡部患者3例,壶腹部患者16例,伞部患者4例;病灶部位的形态大小:圆形20个,椭圆形5个,不规则形状7个,超声未发现病灶情况患者1例,超声检测过程中对患者的附件包块大小进行准确的测量,其中最大直径为59.29 mm,最小直径为8.50 mm,附件包块平均大小为(28.68±11.10)mm。性质特征:囊性19例,混合性11例,实质性1例患者。诊断准确率:经阴道二维超声诊断检查后,漏诊患者4例,26例患者诊断结果符合;经阴道三维超声成像诊断检查后,漏诊患者1例,29例患者诊断结果符合;经阴道三维超声成像诊断符合率、漏诊率优于经阴道二维超声成像诊断结果 ,差异具有统计学意义(P<0.05)。结论宫外孕患者采用经阴道三维超声成像诊断后为宫外孕诊断治疗提供了更加丰富的信息,提升了疾病诊断准确率和有效率。
Objective To evaluate the value of transvaginal three-dimensional ultrasonography in the diagnosis of ectopic pregnancy. Methods Thirty patients with ectopic pregnancy were enrolled in this study. Transvaginal three-dimensional ultrasonography and two-dimensional ultrasonography were performed on the patients respectively. Twenty-four patients were confirmed by surgery, and the remaining seven patients were treated conservatively. Results The diagnosis of transvaginal three-dimensional ultrasound imaging in patients after the process of image acquisition time is about 5 ~ 10 s, manual 3D reconstruction time is about 10 ~ 15 s, the image is divided into tissue grayscale and color Doppler flow map. Patient’s lesion site: 14 cases of left tubal lesions, right tubal patients in 16 cases. Twenty-four patients underwent surgical treatment. One patient was tubal pregnancy in the interstitium, three patients were in the isthmus, 16 patients were in the ampulla and 4 patients were in the umbrella. The size of the lesion was 20 round, 5 oval, 7 irregular shape, 1 case of no lesions were found by ultrasound, and the size of the appendix mass was measured accurately during the ultrasonic testing. The maximum diameter was 59.29 mm and the minimum diameter was 8.50 mm. The average size of the appendix mass was (28.68 ± 11.10) mm. Nature and features: cystic 19 cases, mixed 11 cases, 1 case of substantial. Diagnostic accuracy: transvaginal two-dimensional ultrasound examination, the missed diagnosis in 4 patients, 26 patients with diagnostic results in line; three-dimensional transvaginal ultrasound imaging examination, missed diagnosis of patients in 1 case, 29 patients with diagnostic results; transvaginal three-dimensional ultrasound The coincidence rate and missed diagnosis rate of imaging diagnosis were superior to those of transvaginal two-dimensional ultrasound imaging, the difference was statistically significant (P <0.05). Conclusion The diagnosis of ectopic pregnancy by ectopic pregnancy after transvaginal three-dimensional ultrasound imaging provides more abundant information and improves the accuracy and efficiency of disease diagnosis.