经阴道超声二维及彩色多普勒诊断药物流产后宫腔内残留物临床价值探讨  

Research of Clinical Value of Trans-vagina Color Doppler Flow Imaging for Detecting Intrauterine Remnants

作　　者：付江柯[1] 

机构地区：[1]河南油田总医院超声科,河南南阳473132

出　　处：《中国民族民间医药》2012年第3期61-62,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:探讨经阴道二维及彩色多普勒(CDFI)的图像诊断药物流产后宫腔混合性残留物的临床价值。方法:应用阴道超声对138例药物流产后宫腔充满混合性团块行二维及CDFI检查,刮宫物送病检。结果:138例宫腔内残留物全部经病理证实为不全流产。二维超声以宫腔内充满高回声团块、光斑、光点、蜂窝状液性无回声区或低回声区为诊断标准,符合率达86.23%(119/138),CDFI检测残留物及相邻肌层内局灶性丰富血流信号,且呈滋养周围血流为诊断标准,符合率100%(138/138),相邻肌层内未检测到血流信号2.89%(4/138)。结论:阴道超声二维及CDFI是目前诊断和鉴别诊断药物流产后宫腔混合性团块的有效检测手段,CDFI可根据频谱特征进行定位,具有重要临床诊断价值。Objective:To investigate the clinical value trans-vagina color Doppler flow imaging(TV-CDFI) for intrauterine blend remnant detection after drug abortion.Methods: A total of 138 cases with intrauterine remnants caused by drug abortion underwent two-dimensional TV-CDFI examination and the remnants of curettage were taken to have a physical examination.Results:The 138 cases were all confirmed by pathology.When detected by two-dimensional ultrasound,the womb which is full of above-mid echo pieces,light spots,luminous spots,cellular fluid of non-echo or low echo field is taken as diagnose standard.Among the cases,86.32%(119/138) are in line with this standard.CDFI detects remnants and blood flow signal between the adjacent muscle layers,and take the blood signal rich and nourishing surrounding blood as standard.100%(138/138) of the cases reach this standard.2.89%(4/138)of the cases didn't acquire blood signal in the adjacent muscle layers.Conclusions: Trans-vagina ultrasound CDFI have vital clinical significance which are the effective detect methods of diagnosing and identifying the intrauterine bled remnants of post drug abortion,and CDFI could be used to localizing the exact sites according to spectrum features.

关 键 词：经阴道二维及CDFI 宫腔混合性团块 

分 类 号：R445.1[医药卫生—影像医学与核医学]