Ultrasonic differential diagnosis of corpus luteum between early ectopic pregnancy and early pregnancy
早期异位妊娠与早早孕妊娠黄体的超声鉴别诊断

摘要

目的 针对早期异位妊娠与早早孕妊娠黄体的超声诊断结果进行深入分析，为两种疾病的鉴别诊断提供价值意义。方法 回顾性分析我院2019年1月至2022年4月之间的50例早期异位妊娠患者与50例早早孕妊娠黄体患者的经阴道二维超声图像以及彩色多普勒表现。结果 异位妊娠患者组环状以及半环状有20（40.00%）例，条状为11（22.00%）例，点状为5（10.00%）例，无明显血流为14（28.00%）例；早早孕妊娠黄体患者组环状以及半环状有36（72.00%）例，条状为7（14.00%）例，点状为3（6.00%）例，无明显血流为4（8.00%）例。异位妊娠患者组的PSV为（13.26±9.65）（cm/s），阻力指数为（0.43±0.002）；早孕妊娠黄体患者组的PSV为（33.29±5.11）（cm/s），阻力指数为（0.40±0.02）。结论 两组通过二维超声诊断结果的观察、CDFI以及血流参数均能够鉴别诊断，在临床上有着积极的使用意义。

Abstract

Objective: To analyze the ultrasonic diagnosis results of early ectopic pregnancy and corpus luteum of early pregnancy, so as to provide value and significance for the differential diagnosis of the two diseases.
Methods: the two-dimensional ultrasound images and color Doppler findings of 50 patients with early ectopic pregnancy and 50 patients with corpus luteum of early pregnancy from January 2019 to April 2022 were analyzed retrospectively.
Results: in the ectopic pregnancy group, there were 20 (40.00%) cases of ring and semi ring, 11 (22.00%) cases of strip, 5 (10.00%) cases of dot, and 14 (28.00%) cases of no obvious blood flow; There were 36 (72.00%) cases of ring and semi ring, 7 (14.00%) cases of strip, 3 (6.00%) cases of dot and 4 (8.00%) cases of no obvious blood flow in the luteal body group of early pregnancy. The PSV of ectopic pregnancy group was (13.26 ± 9.65) (cm / s) and the resistance index was (0.43 ± 0.002); The PSV of patients with corpus luteum in early pregnancy was (33.29 ± 5.11) (cm / s) and the resistance index was (0.40 ± 0.02).
Conclusion  : the two groups can be differentiated through the observation of ultrasonic diagnosis results, CDFI and blood flow parameters, which has positive clinical significance.