能量多普勒评价先兆流产保胎治疗效果的临床应用  

The application value of power doppler ultrasound in estimating the tocolysis effect of threatened abortion

作　　者：钟万霖 罗鸣[1] 邹婕[1] 黄维瑜 

机构地区：[1]广东省梅州市妇幼保健院超声科,514012 [2]广东省梅州市妇幼保健院妇产科,514012

出　　处：《蚌埠医学院学报》2016年第3期372-373,376,共3页Journal of Bengbu Medical College

摘　　要：目的:探究能量多普勒评价先兆流产患者保胎治疗效果的应用价值。方法:选取先兆流产患者147例为观察组,同期正常孕妇150名为对照组。观察组孕妇行黄体酮肌内注射保胎治疗,并分别于入组当天和1周后进行专科查体、孕酮测定、能量多普勒检查等,比较2组相关检查指标及观察组保胎成功率。结果:观察组孕妇入组当天能量多普勒指标血管化指数、血流指数和血管化-血流指数均显著低于对照组(P<0.01),1周后2组三项指标均较入组当天明显升高,且观察组升高程度均显著大于对照组(P<0.01);观察组孕妇经保胎治疗后,痊愈99例,有效37例,无效11例,总有效率为92.52%。结论:能量多普勒可准确评价胎盘血流灌注情况,辅助进行先兆流产诊治及其保胎治疗效果评价。Objective： To explore the application value of power doppler ultrasound in estimating the tocolysis effects of threatened abortion. Methods： One hundred and forty-seven threatened abortion patients and 150 normal pregnant women were set as observation group and control group,respectively. The observation group were treated with progesterone tocolysis by intramuscular injection,the progesterone level and power doppler ultrasound in observation group were detected at the first day and after 1 week of admission. The relevant examination index and success rate of tocolysis between two groups were compared. Results： The VI,FI and VFI in observation group at the first day and after 1 week of admission were significantly higher than those in control group,and the increasing extent of which in observation group were significantly higher than that in control group（ P〈0. 01）. After tocolysis treatment in observation group,cure in 99 cases,good effect in 37 cases and invalid in 11 cases were identified,and the total effective rate was 92. 52%.Conclusions： The power doppler ultrasound can accurately assess the placental blood perfusion,auxiliarily diagnosed and treated the threatened abortion and evaluate treatment effect.

关 键 词：流产 先兆 能量多普勒 保胎 

分 类 号：R714.21[医药卫生—妇产科学]