【摘要】 目的 分析阴道彩超联合经腹超声对输卵管妊娠与妊娠黄体囊肿的诊断价值。方法 选取2019年1月至2022年9月在周口市中心医院接受诊疗的54例输卵管妊娠患者纳入观察组，将同期诊疗的50例妊娠黄体囊肿患者纳入对照组，两组均经阴道彩超和经腹超声检查，对比两组包块相关超声参数、血流动力学参数及血流频谱形态，并对比体位改变后包块与同侧卵巢位置变化。结果 观察组包块高回声和不均质包块占比高于对照组(P<0.05),两组包块直径、环壁厚度差异无统计学意义(P>0.05)。观察组包块血流分布以点/线居多，对照组包块以环状居多，差异有统计学意义(P<0.05),观察组动脉收缩期峰值流速(PSV)低于对照组，血管阻力指数(RI)高于对照组(P<0.05)。观察组包块中高阻、低阻型血流频谱低于对照组，极低阻型血流频谱高于对照组(P<0.05)。观察组包块与同侧卵巢相对位置变化率低于对照组(P<0.05)。结论 阴道彩超联合经腹超声可观察包块血流分布情况、频谱形态和同侧卵巢相对位置改变，对输卵管妊娠与妊娠黄体囊肿的鉴别诊断价值较高，值得推广应用。更多还原

【Abstract】 Objective To analyze the diagnostic value of vaginal color Doppler ultrasound combined with transabdominal ultrasonography in tubal pregnancy and corpus luteum cyst of pregnancy.Methods A total of 54 tubal pregnancy patients treated in Zhoukou Central Hospital from January 2019 to September 2022 were selected as the observation group. Another 50 cases of pregnant patients with luteal cyst of ovary who received treatment in this hospital during the same period were selected as the control group. The ultrasound parameters, hemodynamic parameters and blood flow spectrum of the two groups were compared, and the relative position changes between the mass and the ipsilateral ovary after changing the body position were compared.Results The proportion of hyperechoic and uneven mass in observation group were higher than those in control group(P<0.05), and there was no statistical difference in the diameter and ring wall thickness between the two groups(P>0.05). The blood flow distribution of the mass in observation group was mostly points/lines, and the mass in control group was mostly rings, and the difference was statistically significant(P<0.05). The peak systolic velocity(PSV) in observation group was lower than that in control group, and the vascular resistance index(RI) was higher than that in control group(P<0.05). In observation group, the blood flow spectrum of the high and low resistance types were lower than those of control group, and the blood flow spectrum of the very low resistance types was higher than control group(P<0.05).The change rate of the relative position of the mass and the ipsilateral ovary in observation group was lower than control group(P<0.05).Conclusion Colpocolor ultrasound combined with transabdominal ultrasound can observe the blood flow distribution, spectral morphology and the relative position of the ipsilateral ovary, which is of high value in the differential diagnosis of tubal pregnancy and corpus luteum cyst of pregnancy.更多还原