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| Clinical value of ultrasound observation of bilateral uterine artery pulsatility index in diagnosis of tubal pregnancy |
| WANG Bi-li |
| Department of Ultrasound,the First People′s Hospital of Fuzhou,Jiangxi Province,Fuzhou 344000,China |
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Abstract Objective To investigate the value of ultrasound observation of bilateral uterine artery pulsatility index(PI)in the diagnosis of tubal pregnancy(TP).Methods A total of 90 TP patients admitted to the First People′s Hospital of Fuzhou from July 2018 to April 2020 were selected as the observation group;a total of 30 early intrauterine pregnant women who were examined in the First People′s Hospital of Fuzhou during the same period were selected as the control group.According to the difference between the position of the corpus luteum and β-human chorionic gonadotropin(βhCG)in the observation group,they were divided into group A(luteal body and TP on the same side,β-hCG＞800 mU/mL)and group B(luteal and TP on the same side,β-hCG≤800 mU/mL),group C(different side of corpus luteum and TP),with 30 cases in each group.Ultrasound detection was performed in both groups.Ultrasound diagnosis results in the observation group were analyzed and the difference between bilateral PI and PI in the two groups was compared.Results The coincidence rate of ultrasonic diagnosis of TP was 82.22%.Pregnancy corpus luteum was seen in all 90 TP patients.Ultrasonographic findings of group A and group B showed that diastolic blood pressure on the functional side was rich in blood flow signals,and blood flow resistance was decreased compared with that on the contralateral side.In group C,ultrasound imaging showed moderate resistance flow in bilateral uterine arteries.There was no significant difference in PI between non-functional side and functional side in control group,B group and C group(P＞0.05).PI of the non-functional side was higher than that of the functional side in group A,and the difference was statistically significant(P＜0.05).There was no statistical significance in the difference of bilateral PI between group B,C and control group(P＞0.05).The difference of PI in group A was higher than that in control group,group B and group C,and the difference was statistically significant(P＜0.05).Conclusion The application of ultrasonic detection of bilateral uterine artery PI in the diagnosis of tubal pregnancy can improve the objectivity and diagnostic nature of clinical diagnosis and promote the development of clinical diagnosis and treatment,which is worthy of practice and promotion.
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