经直肠超声彩色多普勒血流成像在药物流产中的应用  

Application of transrectal color Doppler flow imaging in medical abortion

作　　者：张立花[1] 刘现翠[1] 王韶玉[1] 赵书水[1] 

机构地区：[1]山东省济南市第三人民医院,现山东大学在读硕士250101

出　　处：《中华医学超声杂志（电子版）》2006年第5期274-275,共2页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨经直肠超声彩色多普勒血流成像(CDFI)在药物流产诊断治疗中的应用价值。方法选择2005年1月—2006年2月在我院妇产科门诊行药物流产的患者65例,应用经直肠超声CDFI观测患者妊娠囊排出后当日其妊娠囊着床部位的彩色多普勒血流状态,并分为3类:Ⅰ类:妊娠囊着床部位无血流信号(16例);Ⅱ类:妊娠囊着床部位见星点状或短棒状血流信号(35例);Ⅲ类:妊娠囊着床部位见火球状血流信号(14例)。于药物流产15d后常规复查宫腔情况。结果第15天复查发现Ⅰ、Ⅱ类血流显示者宫内未发现残留物;Ⅲ类血流显示者宫腔内均发现残留物并行清宫术,病理检查证实为底蜕膜组织,部分可见绒毛。结论Ⅰ、Ⅱ类血流显示者可动态观察,Ⅲ类血流显示者当日即可行清宫术。经直肠超声CDFI对于预测药物流产是否完全及其临床转归有很高的参考价值。Objective To explore the application values of transrectal color Doppler flow imaging in medical abortion. Methods A total of 65 outpatients from Gynaecology and Obstetrics Department in our hospital from January 2005 to February 2006 voluntarily underwent medical abortion .The blood-supply in the basal decidua at the day of pregnancy sac exclusion was observed using transrectal color Doppler flow imaging and was divided into three types as follows: (1) no blood signals in the decidua (16 cases); (2) Star-like or short rod appearance in 35; (3) fireball blood signals in 14. Routine ultrasonic uterine examination was rechecked at the 15th day after operations. Results At the 15th day, the rechecked cases revealed that the residua were only found in the third type but not in the first or second type. The residua were comfirmed by pathology to be membranous residua serotina some of which were with visiable focal villi. Conclusions The first and second type cases may be dynamically observed, but the third type cases should undergo currelage on the day of drug abortion. Transrectal color Doppler flow imaging has a higher predictive values for the outcome of drug abortion.

关 键 词：彩色多普勒超声检查 人工流产 

分 类 号：R169.42[医药卫生—公共卫生与预防医学] R445.1