阴道及腹部超声对药流后宫腔内残留物的诊断价值  

The Value of Vaginal and Abdominal Ultrasound in the Diagnosis of Intrauterine Residue After Medical Abortion

作　　者：范丽群 李阳 李艳艳 FAN Li-qun;LI Yang;LI Yan-yan(Nanjing Yuhua Hospital,Nanjing,Jiangsu,210039,China)

机构地区：[1]南京市雨花医院,江苏南京210039

出　　处：《中国血液流变学杂志》2021年第2期257-259,共3页Chinese Journal of Hemorheology

摘　　要：目的探讨阴道和腹部超声在药物流产后宫腔内残留物诊断中的临床应用价值。方法回顾性分析120例药物流产后存在宫腔内胎物残留并发症患者的超声声像图,对比阴道及腹部超声诊断结果的差异。结果阴道超声对宫腔内残留物的检出率为91.67%,腹部超声检出率为74.17%,前者检出率高于后者,两者间的差异具有统计学意义(P<0.05)。结论阴道超声检查对药物流产后宫腔内残留物的诊断准确率高于腹部超声检查,尤其是对微小残留物的诊断,漏诊情况少,可为患者及时提供有效的临床治疗依据。Objective To investigate the clinical application value of vaginal and abdominal ultrasound in the diagnosis of intrauterine residue after medical abortion.Methods The ultrasonographic features of 120 patients with intrauterine residual complications after medical abortion were retrospectively analyzed,and the differences of vaginal and abdominal ultrasound diagnosis results were compared.Results The detection rate of intrauterine residue by vaginal ultrasound was 91.67%,and that by abdominal ultrasound was 74.17%.The former detection rate was higher than the latter,and the difference was statistically significant(P<0.05).Conclusion The accuracy of vaginal ultrasound in the diagnosis of intrauterine residue after medical abortion is higher than that of abdominal ultrasound,especially in the diagnosis of tiny residue.Vaginal ultrasound can provide effective clinical treatment basis for patients in time with less missed diagnosis.

关 键 词：超声检查 药物流产 宫腔内残留 

分 类 号：R445.1[医药卫生—影像医学与核医学]