超声测盆腔积液深度在评估异位妊娠腹腔内出血量中的应用  

Application of pelvis free liquid deepness measured by ultrasound in evaluating intra-abdominal hemorrhage volume in ectopic pregnancy patients

作　　者：刘岿然[1] 王昌霆[1] 杨雨[1] 张淑兰[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,沈阳110004

出　　处：《第二军医大学学报》2012年第5期565-566,共2页Academic Journal of Second Military Medical University

摘　　要：目的通过比对异位妊娠患者术前盆腔积液深度的彩色超声测量结果与术中记录的实际腹腔内积血量,建立估测术前腹腔内出血量的方法。方法选择2008年1月至2009年12月在本院诊断为异位妊娠并行急诊手术的患者500例。术前患者取半卧截石位,行阴式超声检查。按彩超提示盆腔积液深度(x)和术中记录与之对应的腹腔内实际出血量(y),利用SPSS 16.0统计软件行统计学分析并建立方程。结果盆腔积液深度(x)与腹腔内实际出血量(y)符合方程:y=43.306e0.704x,R2=0.983,P<0.05。按此方程推算腹腔内实际出血量,当盆腔积液深度为3、3.5、4.0及4.5 cm时,腹腔内实际出血量分别为357.91、508.92、732.64及1 028.95 ml。结论根据盆腔积液深度可估算出异位妊娠患者腹腔内出血的量,从而为患者提供更准确的治疗依据。Objective To compare the pelvis free liquid quantity deepness measured by ultrasound and actual blood volume in abdominal cavity observed during operation in ectopic pregnancy patients,so as to predict the pre-operation intra-abdominal hemorrhage volume.Methods Five hundred patients with ectopic pregnancy receiving emergent operation were included in the present study.The patients took lithotomy position and were examined by vaginal probe before operation.The pelvis free liquid quantity measured by ultrasound（x） and the actual blood volume in abdominal cavity（y） observed during operation were subjected to statistical analysis using SPSS 16.0 software.Results The pelvis free liquid measured by ultrasound and the actual quantity of blood in abdominal cavity accorded with the following equation： y=43.306 e0.704x,R2=0.983,P0.05.The actual volume of blood in pelvis could be calculated by the equation.When the quantities of free liquid in pelvis were 3 cm,3.5 cm,4.0 cm,and 4.5 cm,the actual volumes of blood in pelvis were 357.91 ml,508.92 ml,732.64 ml,and 1 028.95 ml,respectively.Conclusion The quantity of intra-abdominal hemorrhage can be predicted by the pelvis free liquid deepness in ectopic pregnancy patients,which may pave a way for more effective treatment of the patients.

关 键 词：异位妊娠 超声检查 盆腔积液 腹腔内出血 

分 类 号：R714.22[医药卫生—妇产科学]