摘要
目的:探析彩色多普勒超声诊断药物流产不全后宫内残留物的价值。方法:入选我院2013年1月至2013年12月收治的180例药物流产后持续阴道出血2周的患者,随机分为3组各60例,A组采用高频彩色多普勒超声波(CDFI)检查,B组采用能量多普勒(CDPI)检查,C组采用CDFI+CDPI检查,并与病理结果进行比较,评价定性诊断价值。结果:A组对药物流产不全诊断的灵敏度为91.1%(51/56),准确性为88.3%(53/60),B组灵敏度为90.9%(50/55),准确性为90.0%(54/60),C组灵敏度为100.0%(56/56),准确性为98.3%(59/60)。3组比较灵敏度、准确性可见,C组灵敏度、准确性明显高于A、B两组,P<0.05。结论:高频CDFI对药物流产不全后宫内残留物诊断灵敏度高,准确性相对低,与CDPI联合,可提高诊断准确性,二者联合诊断具有重要价值。
Objectives： To study the diagnostic value of color doppler ultrasound in incomplete abortion intrauterine residue. Method： 180 cases with 2 weeks vaginal bleeding after medical abortion in our hospital from2013 January to 2013 December were randomly divided into 3 groups with 60 cases in each. A group received CDFI examination; B group received CDPI examination; C received both CDFI and CDPI examination. The pathological results were compared to evaluate the value of diagnosis. Result： In A group,the diagnostic sensitivity of incomplete medical abortion was 91. 1%（ 54 /56）,and the accuracy was 88. 3%（ 53 /60）; in B group the sensitivity was90. 9%（ 50 /55） and the accuracy was 90%（ 54 /60）; in C group,the sensitivity was 100%（ 56 /56）,and the accuracy was 98. 3%（ 59 /60）. The sensitivity,accuracy,sensitivity,accuracy of C group was obviously higher than those of group A and B,all P〈 0. 05. Conclusion： CDFI is of high sensitivity and low accuracy in diagnosis of incomplete medical abortion intrauterine residue. The diagnostic accuracy can be improved when combined with CDPI. The combination of the two methods has important value in diagnosis.
出处
《中国性科学》
2015年第4期106-109,共4页
Chinese Journal of Human Sexuality
基金
2013年浙江省苍南县第一批科技计划项目(2013S28)
