经阴道彩色多普勒血流成像对药物流产不全的诊断价值  

Diagnosis value of transvaginal color Doppler flow imaging in incomplete medication abortion

作　　者：王硕[1] 陈苏宁[1] 

机构地区：[1]同济大学附属同济医院超声诊断科,上海200065

出　　处：《肿瘤影像学》2013年第1期41-44,共4页Oncoradiology

摘　　要：目的探讨经阴道彩色多普勒血流成像(CDFI)对药物流产(简称药流)不全的诊断价值。方法选择临床怀疑药流不全的患者45例,均先经阴道彩超检查,随后行清宫术或宫腔镜手术并将刮出物送病理检查。对超声与病理诊断相符的病例,回顾性分析药流不全的超声表现。结果 45例临床怀疑药流不全者中,超声诊断药流不全43例,经病理证实查见绒毛和(或)蜕膜者41例;超声漏诊1例,误诊3例。超声诊断的准确率91.1%,灵敏度97.6%。宫内残留的绒毛蜕膜组织回声复杂、大小悬殊,残留绒毛蜕膜组织的类滋养层血流检出率为70%。结论经阴道CDFI对药流不全具有较高的诊断价值,可作为药流不全的检查及随访观察手段。Objective To evaluate the diagnosis value of transvaginal color Doppler flow imaging(TVS-CDFI) in incomplete medication abortion.Methods Forty-five patients suspected of incomplete medication abortion were first observed by TVS-CDFI,and then underwent a curettage or hysteroscopy.The intrauterine residual after operation were all examined pathologically.Ultrasonic findings of forty-one patients with pathologically confirmed incomplete medication abortion were reviewed retrospectively.Results TVS-CDFI in the diagnosis of incomplete medication abortion had an accuracy of 91.1% and sensitivity of 97.6%.Forty-three of the forty-five cases were diagnosed by TVS-CDFI,and forty-one of them were confirmed by surgical pathology,with findings of villus and(or) decidua residual.One case was missed and three cases were misdiagnosed by TVS-CDFI.The ultrasonic images of incomplete medication abortion were variable and complicated;the detection rate of resembling trophoblastic blood flow in the intrauterine villus and(or) decidua residual by TVS-CDFI was 70%.Conclusion TVS-CDFI is of great value in diagnosis of incomplete medication abortion,and therefore can be used as an important examination of incomplete medication abortion and follow-up observation.

关 键 词：腔内超声 超声成像 彩色多普勒 药流不全 宫内残留组织 

分 类 号：R445.1[医药卫生—影像医学与核医学]