The Application of Vaginal Color Ultrasound in the Diagnosis and Treatment of Ectopic Pregnancy

To explore the application of vaginal color ultrasound in the diagnosis and treatment of ectopic pregnancy. Methods: From August 2018 to May 2019, 90 patients with suspected ectopic pregnancy who were treated in our hospital were selected as the study objects. Abdominal color ultrasound and vaginal ultrasound were performed respectively to compare the diagnosis results of the two methods. Result: The detection rate of transvaginal ultrasound was higher than that of abdominal ultrasound (P < 0.05); the accuracy rate of transvaginal ultrasound was significantly higher than that of abdominal ultrasound (P < 0.05); the main parts of ectopic pregnancy were ampulla, isthmus and umbrella, and the main types were ruptured, unruptured and obsolete. Conclusion: The application of transvaginal ultrasound in the diagnosis of ectopic pregnancy has the advantages of high accuracy and detection rate, fast examination speed, simple operation, etc. it is of great significance to retain the fertility of patients and is wworthy popularizing.

BIOPSAR study: ultrasound-guided pre-operative biopsy to assess histology of sarcoma-suspicious uterine tumors: a new study protocol

BackgroundThe pre-operative differential diagnosis between a uterine leiomyoma and a sarcoma can be a challenge. Available diagnostic tools have difficulty distinguishing between the two pathologies.Primary ObjectiveΤo evaluate the possibility of a pre-operative pathological diagnosis of atypical uterine muscle tumors by vaginal ultrasound-guided biopsy (VUGB).Study HypothesisDiagnostic performance of ultrasound-guided biopsy will be capable of differentiating a leiomyoma from a sarcoma with a sensitivity of >90%.Trial DesignA prospective multi-center interventional study will be performed at 10 tertiary French centers. Vaginal ultrasound Doppler examination and pelvic magnetic resonance imaging will be performed before surgery. VUGB will then be performed by a specialist radiologist. The biopsy will be obtained by performing transvaginal ultrasound under local anesthesia with lidocaine using a 16G needle. At least 4–5 specimens will be obtained in order to provide a histopathological diagnosis. All patients included in the study will be operated by laparotomy. All patients included in the study will be followed up for the subsequent 3 years according to their pathological results.Major Inclusion/Exclusion CriteriaAll patients >35 years old diagnosed with a suspicious uterine tumor will be included.Primary EndpointSensitivity of VUGB on pathological diagnosis.Sample SizeConsidering a sensitivity of 90% (H0) as acceptable and a sensitivity of 95% (H1) as excellent, a sample size of 250 evaluable patients will be necessary to achieve 80% statistical power with a 5% type 1 statistical error.Estimated Dates for Completing Accrual and Presenting ResultsAccrual will be completed in December 2024 with results presented in December 2029.Trial RegistrationInstitutional Review Board (Ethic Committee of Paris Ile de France 6) no 2018-A02343-52.

Application Value of Transvaginal Ultrasound on Early Screening for Ectopic Pregnancy

Objective: To explore the effect and value of transvaginal ultrasound in screening early ectopic pregnancy. Methods: A total of 146 patients with ectopic pregnancy in our hospital were selected. The patients' entry time was from May 2018 to December 2020. 146 patients were divided into two groups. The control group was screened by abdominal ultrasound with 73 cases, and the experimental group was screened by vaginal ultrasound with 73 cases. The uterine adnexal mass, pelvic effusion, peritoneal effusion and diagnostic accuracy were detected. Results: The positive number of abdominal ultrasound was significantly higher than that of vaginal ultrasound; In the detection process of abdominal ultrasound, 54 cases of ectopic pregnancy, 19 cases of non-ectopic pregnancy, the detection rate was 73.97%, 26 cases of ectopic pregnancy, 47 cases of non-ectopic pregnancy, the detection rate was 32.62%. Conclusion: The accuracy of transvaginal ultrasound is relatively high, and the accuracy of ectopic pregnancy examined by transvaginal ultrasound is higher, which is more friendly to patients, less traumatic and high operability. It can provide more accurate reports for patients and relieve the psychological pressure of patients, which is worthy of application in actual screening.

Trans abdominal versus transvaginal ultrasound in assessment of polycystic ovary.

Objective: The main objective of our study is to compare transabdominal and transvaginal ultrasound in assessment of polycystic ovaries. Study Design: Cross Sectional Comparative study. Setting: Jinnah Medical College and Hospital Karachi. Period: January 2016 to January 2017. Material & Methods: 200 married females were selected with complaints of irregular menses, hirsutism, obesity and infertility and age group 18-45 years. Patients with already diagnosed polycystic ovaries or on hormonal treatment were excluded. Results: Out of 200 patients, 54 patient shows poly cystic ovaries both on trans abdominal and Trans vaginal ultrasound, 16 patients on Trans vaginal ultrasound only but not on trans abdominal ultrasound in which 13 patients were very obese. Rest of the patients had normal ovaries on both types of ultrasound examinations. The prevalence of polycystic ovaries noted by transabdominal ultrasound is 27% (54/200) overall and by TVS ultrasound is 35% (70/200). Conclusion: PCOS is quite a common endocrine complaint. Our results suggest that prevalence of PCO is 27% by trans-abdominal u/s and 35% by TVS. The Mean volume of ovary is greater in women with polycystic ovaries but there is no significant difference seen in prevalence of polycystic ovaries diagnosed by both ultrasound examinations. Although it has been observed that TVS is better than transabdominal U/S in detection of PCO but our study shows that the two methods are almost analogous except in obese patient where TVS displayed better results.