流产后宫内妊娠物残留超声分型的临床研究  

Clinical Study on Ultrasound Classification of Intrauterine Pregnancy Residue after Abortion

作　　者：史维倩 涂长玉 张萍 杨付英 夏宝真 李伟红 SHI Weiqian;TU Changyu;ZHANG Ping(Luozhuang Central Hospital in Linyi City,Linyi 276002,China)

机构地区：[1]临沂市罗庄中心医院,山东临沂276002 [2]临沂市妇女儿童医院

出　　处：《中外医学研究》2018年第34期57-59,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨早孕流产后宫内妊娠物残留超声诊断价值、检查注意事项及超声分型情况。方法:收集2017年1月-2018年9月早孕流产后宫内妊娠物残留患者100例,均行经腹部与经阴道两种超声检查,并与清宫术后结果对照。根据残留物的大小及形状等进行超声分型,分为团块性、薄片型、斑点型三型。结果:结合经腹部和经阴道超声两种检查,100例宫内妊娠物残留患者,宫腔内均见有点状、斑片状、条带状或团块状异常回声,回声程度不等,呈略强回声或中低回声、混合回声。经腹部超声检查诊断正确82例,误诊18例,诊断符合率82.0%;经阴道超声检查诊断正确98例,误诊2例,诊断符合率98.0%。经阴道超声检查检出宫内残留物明显高于经腹超声检查,差异有统计学意义(字2=14.222,P<0.05)。100例中,团块型58例,薄片型25例,斑点型17例。结论:对流产后宫内物残留进行超声分型,为临床提供的图像信息更为客观,便于临床医生对残留物的全面了解判断,有助于清宫措施的选择,从而提高清宫成功率。Objective:To investigate the diagnostic value of intrauterine pregnancy residue after early pregnancy abortion,the points of attention and the type of ultrasound.Method:A total of100patients with intrauterine pregnancy residue were randomly selected from January2017to September2018.The results were compared with those of curettage surgery.According to the size and shape of the residue,the ultrasonic classification was divided into three types of mass,chip and spot block type.Result:Combined with abdominal and vaginal ultrasonography,100cases of intrauterine pregnancy residual patients were found to have abnormal echoes in the uterine cavity,ranging in echo degree,such as a bit shape,a spot shape,a strip shape,or a mass mass.A slightly strong or low echo,mixed echo.The diagnosis by abdominal ultrasonography was correct in82cases,misdiagnosis in18cases,and the diagnosis compliance rate was82.0%.The diagnosis was correct in98cases,misdiagnosis in2cases,and the diagnosis rate was98.0%.The intrauterine residues detected by vaginal ultrasound were significantly higher than those detected by transabdominal ultrasound,and the difference was statistically significant(χ^2=14.222,P<0.05).Among the100cases,58cases were lumped,25cases were laminated and17cases were spotted.Conclusion:Ultrasonic classification of the harem residues in abortion,can provide more objective image information for clinical purposes,facilitate clinicians to fully understand and judge the residues,and contribute to the choice of measures for clearing the palace,thus improve the success rate of clearing the palace.

关 键 词：超声 流产 子宫 残留物 分型 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.21[医药卫生—诊断学]