超声在临床处理宫内妊娠残留物的应用  

Application of Ultrasound in Clinical Treatment of Intrauterine Pregnancy Residues

作　　者：刘翠霞 

机构地区：[1]北京市昌平区中医医院超声波室,北京102200

出　　处：《中国医药导刊》2014年第12期1461-1462,1464,共3页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨超声在临床处理宫内妊娠残留物的应用价值。方法：对2007年1月~2013年6月经超声引导监测产后出血及宫内妊娠残留物清除病例576例声像图进行分型,分析声像图不同类型与其结局的关系。结果：576例患者中,其中表现符合Ⅰ型的患者,均无需清宫;符合Ⅱ型的患者,可根据宫腔内积血量的多少及子宫复旧情况决定是否进行清宫。符合Ⅲ型表现的患者,以行清宫手术为宜。而符合Ⅳ、Ⅴ型超声表现的患者,是必须进行清宫手术的指征。结论：超声在产后妊娠残留物的诊断与治疗中,可为临床提供精准的信息,在减少病人痛苦,提高宫腔操作质量方面,很有价值。Objective： To study the value of ultrasound in clinical treatment of intrauterine pregnancy residues.Methods： 576 ultrasonic images of patients from January 2007 to June 2013 with intrauterine pregnancy and postpartum hemorrhage residue removal was reviewed and classified to find relationship of different image pattern and the patients＇ outcome. Results： Patients with type I image pattern did not need to have uterine curettaged.Patients with image pattern type II should have the uterine curettage operation depend on the amount of intrauterine bleeding and uterine involution status.Patient with image pattern type III should perform uterine curettage operation.The image pattern type IV and V is the absolute indication of uterus surgery. Conclusion： Ultrasound can provide precise information for the diagnosis and treatment of patient with postpartum gestational residue which would significantly release the pain of patients and enhance the performance of uterine surgery.

关 键 词：超声 残留物 清宫 

分 类 号：R445.1[医药卫生—影像医学与核医学]