影像科学与光化学2025，Vol.43Issue(6)：96-102,7.DOI:10.7517/issn.1674-0475.2025.06.13
超声血流分级对甲氨蝶呤治疗异位妊娠成功率的影响
The Impact of Ultrasound Blood Flow Grading on the Success Rate of Metho-trexate in the Treatment of Ectopic Pregnancy
摘要
Abstract
Objective:To study the effect of ultrasound Adler grading of blood flow in adnexal masses of ectopic pregnancy on the success rate of methotrexate treatment,providing reference for clinical treatment.Methods:A retrospective analysis of 357 ectopic pregnancy patients treated with methotrexate at Hefei Maternal and Child Health Hospital from January 1,2021 to December 31,2023 was conducted.Patients were divided into success and failure groups based on treatment outcome.General information,ultrasound indicators(including Adler grading),and serum HCG changes were compared.Binary logistic regression was used to assess the impact of blood flow grading on treatment success.Results:The success rate of methotrexate treatment was 72.27%.As the Adler grading of ultrasound blood flow grading increased,the success rate of treatment decreaseed significantly.Binary Logistic regression showed significant differences in treatment success from grades 0,1,2,to 3.The ORs were 16.546(95%CI:3.995～68.531),5.701(95%CI:1.452～22.395),4.382(95%CI:1.223～15.706),respectively(P<0.05).Conclusion:Ultrasound Adler grading of blood flow in ectopic pregnancy masses is a significant factor influencing the success rate of methotrexate treatment.Pretreatment blood flow grading,serum HCG levels and their changes are significant predictors of treatment success.关键词
异位妊娠/甲氨蝶呤/Adler血流分级/药物治疗Key words
ectopic pregnancy/methotrexate/adler grading of blood flow/medical treatment分类
医药卫生引用本文复制引用
孙凤,何娟,李多兰,储斌,谢婷婷..超声血流分级对甲氨蝶呤治疗异位妊娠成功率的影响[J].影像科学与光化学,2025,43(6):96-102,7.基金项目
合肥市卫生健康应用医学科研计划项目(Hwk2023zd001). （Hwk2023zd001）
