彩色多普勒超声对药流后宫腔胚胎物残留诊断178例分析

Color doppler sonography in detecting intrauterine fetal residue: analysis of 178 cases

  • 摘要: 目的 探讨彩色多普勒超声诊断药流后宫腔内各种胚胎物残留的声像图特征。方法 采用GELOGIQ5彩色超声诊断仪对178例药流后下腹疼痛伴阴道不规则流血患者分别进行阴腹超声检查。结果 在178例超声诊断出宫内残留物的病例中,经病理检查证实为蜕膜组织75例,占总数的42.1%(75/178),蜕膜绒毛及陈旧胚胎组织者64例,占35.9(64/178),胚胎组织碎片、血凝块及炎性渗出物39例,占21.9(39/178),诊断正确率100%。结论 彩色多普勒超声能及时发现阴道流血原因,对指导临床清宫和临床诊断处理宫内胚胎物残留具有重要指导意义。

     

    Abstract: Objective To study the sonographic features of intrauterine fetal residues diagnosed by color doppler ultrasound. Methods Intrauterine fetal residues were detected in 178 patients with postabortal or lower abdominal pain associated with irregular bleeding by transvaginal sonography(TVS)and transabdominal sonography(TAS)using the GE LOGIQ5 color ultrasonic diagnostic set. Results Of the 178 patients after medical abortion,intrauterine residues were detected in 75(42.1%),remnant chorion and old fetal tissues were detected in 64(35.9%),and tissue fragments,blood clots and inflammatory exudation were detected in 39(21.9%).The accurate rate was 100%. Conclusion Color doppler ultrasound can detect vaginal bleeding and plays an important role in the diagnosis of intrauterine residues.

     

/

返回文章
返回