经阴道超声检查黄体对流产后宫腔残留的诊断价值  

The Diagnostic Value of Transvaginal Ultrasonography for Corpus Luteum in Residual Uterine Cavity After Abortion

作　　者：孙春桂 姚志勇 高晓红 王芳 崔姗姗 郭洁 Sun Chungui;Yao Zhiyong;Gao Xiaohong;Wang Fang;Cui Shanshan;Guo Jie(Department of Ultrasound,The Second Affiliated Hospital of Nanjing University of Chinese Medicine(Jiangsu Second Chinese Medicine Hospital),Nanjing 210017,China)

机构地区：[1]南京中医药大学第二附属医院(江苏省第二中医院)超声科,南京市210017

出　　处：《中国超声医学杂志》2022年第3期323-325,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨经阴道超声检查妊娠黄体的存在对流产后宫腔残留的诊断价值。方法回顾性分析164例人工流产后患者,将其分为两组:第一组为流产后有宫腔残留者,共70例;第二组为流产后无宫腔残留者,共94例。观察两组病例经阴道超声检查是否仍存在妊娠黄体,分析两者之间的关系。结果第一组病例存在黄体者42例,无黄体者28例;第二组病例存在黄体者17例,无黄体者77例,两组病例黄体的存在具有明显统计学差异(P<0.05);第一组病例中,有黄体者和无黄体者宫腔残留物病理结果无差异;有黄体者宫腔残留物血流多于无黄体者(P<0.05);有黄体者人绒毛膜促性腺激素(Hcg)水平明显高于无黄体者(P<0.05)。结论流产后经阴道超声检查卵巢黄体的存在与否对诊断宫腔残留具有临床参考价值。Objective To explore the diagnostic value of transvaginal ultrasonography in the presence of convective postpartum residual in the uterine cavity.Methods 164 patients with induced abortion were retrospectively analyzed and divided into two groups:the first group was 70 patients with residual uterine cavity after abortion;The second group was 94 patients without residual uterine cavity after abortion.To observe whether there was still luteal luteum in pregnancy by transvaginal ultrasound examination and analyze the relationship between the two groups.Results In the first group,there were 42 cases with corpus luteum and 28 cases without corpus luteum.In the second group,there were 17 cases with corpus luteum and 77 cases without corpus luteum.There was significant statistical difference in the presence of corpus luteum between the two groups(P<0.05).In the first group,there was no difference in the pathological results of uterine residue between those with corpus luteum and those without corpus luteum;The residual blood flow in uterine cavity with corpus luteum was more than that without corpus luteum(P<0.05).The level of human chorionic gonadotropin(Hcg)in patients with corpus luteum was significantly higher than that in patients without corpus luteum(P<0.05).Conclusions The presence or absence of luteum in ovarian pregnancy by transvaginal ultrasound after abortion is of clinical reference value for the diagnosis of uterine residual.

关 键 词：宫腔残留 妊娠黄体 人工流产 人绒毛膜促性腺激素(Hcg) 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]