320例带器妊娠超声诊断分析  

作　　者：陈冬云 朱荫莲 曹雪琴 

机构地区：[1]深圳市龙岗区横岗街道计划生育服务中心,518115

出　　处：《当代医学》2012年第18期1-2,共2页Contemporary Medicine

摘　　要：目的通过对320例带器妊娠者进行宫内节育器(IUD)定位及宫内妊娠的超声诊断分析,探讨带器妊娠发生的主要原因,以指导临床正确预防和处理带器妊娠。方法对320例带器妊娠者在人工流产者术前详细询问有关病史,仔细行超声检查,术后对照手术记录,并对IUD类型及B超定位、宫内妊娠、宫内妊娠囊与IUD的位置关系和带器妊娠发生与放置IUD时间的关系进行分析。结果带器妊娠者IUD位置下移率为96.2%,IUD位置未下移但偏离子宫腔中央占3.8%,IUD与妊娠囊之间距离10mm者,占带器妊娠的87%,带器妊娠者发生异常妊娠率为21.2%。结论 IUD位置异常是导致带器妊娠发生的主要原因,加强B超对IUD的定期监测是预防带器妊娠发生的重要措施。Objective To analysis 320 Cases of IUD Women with Pregnancy,discussion on the main reasons of pregnancy with IUD,in order to guide the clinical correctly prevention and treatment of pregnancy with IUD.Methods Asked 320 cases of IUD women with pregnancy in detail about the medical history befor induced abortion,carried on ultrasound examination carefully,control operation record after operation,and analyzed the type of IUD and B ultrasound localization,intrauterine pregnancy, the positional relationship of intrauterine gestational sac with IUD and the relationship of pregnancy with IUD and placed IUD time. Results The position downward rate of pregnancy with IUD is 96.2%,IUD position not down but deviate from the uterine cavity central accounted for 3.8%, the distance between the IUD and the gestational sac ≥ 10mm, accounts for the pregnancy with IUD in 87%, abnormal pregnancy rate of pregnancy with IUD is 21.2%.Conclusion IUD is the leading cause of pregnancy with IUD abnormal position of main reason of occurrence of B ultrasound, strengthening of IUD monitoring periodically to prevent the occurrence of pregnancy with iud.

关 键 词：宫内节育器(IUD) 宫内妊娠 超声诊断 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]