Background: The rising incidence of ectopic pregnancy (EP) in China underscores the critical need for early and accurate diagnosis to achieve optimal patient outcomes. Colour Doppler ultrasound, β-hCG, and progesterone testing are essential tools in the detection of EP, with transvaginal ultrasound offering precise visualization of EP lesions. Lower levels of β-hCG and progesterone in EP cases compared to normal pregnancies serve as key diagnostic markers. Awareness of atypical symptoms is crucial to prevent missed or misdiagnosed cases, underscoring the importance of timely intervention to mitigate severe complications.

Objective: To investigate the differences in colour Doppler ultrasound findings, serum β-hCG levels, and progesterone levels between normal and ectopic pregnancies, in order to provide insights into the clinical diagnosis and treatment of EP.

Methods: Sixty patients who showed no gestational sac in the uterus during early pregnancy and were either highly suspected or pathologically confirmed to have EP were selected for this study. As controls, fifty women with normal pregnancies during the same period were also included. Colour Doppler ultrasound findings (endometrial thickness, pelvic effusion, uterine effusion, and adnexal mass), serum β-hCG levels, and progesterone levels were recorded and compared between the two groups.

Results: Colour Doppler ultrasound showed that the EP group had significantly greater incidences of pelvic effusion, uterine effusion, and an adnexal mass than did the control group. Moreover, the EP patients had significantly thinner endometria (8.3 ± 3.37 mm vs. 16.12 ± 3.09 mm; < 0.05), lower serum β-hCG levels (846.18-1444.09 vs. 2429.24-3020.56; < 0.05), and lower progesterone levels (9.1 ± 7.19 vs. 17.66 ± 5.63; < 0.05) than did the controls. Receiver operating characteristic (ROC) analysis revealed that endometrial thickness, serum β-hCG concentration, and progesterone concentration had considerably high area under the curve (AUC), sensitivity, and specificity for the diagnosis of EP.

Conclusion: Colour Doppler ultrasound, serum β-hCG concentration, and progesterone concentration have high diagnostic value for EP.

Download full-text PDF

Source
http://dx.doi.org/10.1177/09287329241296379DOI Listing

Publication Analysis

Top Keywords

colour doppler
20
doppler ultrasound
20
ectopic pregnancy
8
β-hcg progesterone
8
normal pregnancies
8
ultrasound findings
8
serum β-hcg
8
β-hcg levels
8
levels progesterone
8
progesterone levels
8

Similar Publications

Primary gingival diffuse large B‑cell lymphoma with muscle invasion: A case report.

Oncol Lett

April 2025

Department of Thoracic Oncology and State Key Laboratory of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China.

Primary gingival diffuse large B-cell lymphoma (DLBCL) with muscle invasion is rare and accounts for ~0.5% of all reported cases of extranodal lymphoma. The present study describes the case of a 49-year-old man that initially presented at Yingshan County People's Hospital (Nanchong, China) in August 2017 with a chief complaint of tenderness and swelling of the jaw.

View Article and Find Full Text PDF

The main etiology of sudden sensorineural hearing loss (SSNHL) is uncertain and vascular problems have been proposed as one of the underlying factors in this disease. Patients with SSNHL and people without any hearing or ear disorders as the control group were included in the study (aged 18-65 years). Clinical examination, pure tone audiometry, and color doppler ultrasound of the neck vessels were performed for all patients and control subjects, on both sides, to check blood flow, peak systolic velocity (PSV), vascular diameter, and intima-media thickness (IMT) in the common carotid (CCA), vertebral (VA), and internal carotid arteries (ICA).

View Article and Find Full Text PDF

Purpose: This study assessed the reproducibility and clinical value of the vascular index (VI), derived from superb microvascular imaging (SMI) using Doppler ultrasonography, for evaluating renal function in transplanted kidneys.

Methods: This retrospective study included 63 renal transplant patients who underwent grayscale and Doppler ultrasonography with SMI from January 2022 to February 2023. The VI of the transplanted kidneys was measured using three methods (VIbox, VIF1, VIF2).

View Article and Find Full Text PDF

Background: Atypical cartilaginous tumors (ACTs) usually occur in long bones rather than in the hands or feet. To date, detailed imaging features of ACTs in the hands or feet were reported in only a few case reports.

Case Presentation: We report a case of an Asian woman in her early 80s who presented to our hospital with a painless mass in the distal phalanx of the left thumb.

View Article and Find Full Text PDF

Purpose: To demonstrate the utility of ultrasound and color Doppler examination in differentiating red skin lesions.

Methods: We used high-frequency probes to identify common features of infantile hemangioma that can help distinguish it from other red skin lesions.

Results: In the pediatric population red skin lesions are frequently encountered in clinical practice.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!