B型超声监测在药物流产中的临床价值  

The clinical values of sonographic detection in mifepristone abortion

作　　者：赵晶[1] 李红燕[1] 王琼[2] 李瑞兰[1] 

机构地区：[1]山东省立医院妇产科,山东济南250021 [2]山东省立医院诊疗中心,山东济南250021

出　　处：《医学影像学杂志》2003年第3期178-180,共3页Journal of Medical Imaging

摘　　要：目的 :探讨B型超声与药物流产临床结局的相关性及临床应用价值。方法 :对门诊 1 92 0例要求药物流产的健康妇女 ,在用药前后进行超声检查。结果 :用药前超声检查筛查出异位妊娠 ,葡萄胎及不符合药流条件者 1 70例 ,用药前不同大小妊娠囊在绒毛排出时间上无显著差异 ,但妊娠囊越大 ,出血量越多 ,出血持续时间越长 ,则有明显差异 (P <0 0 1 )。服药后 7天超声检查提示不全流产 1 82例。流产失败 3例。结论 :药物流产前后超声监测 ,即可筛查异常确定孕龄 ,又可对流产后阴道出血 >7天的病例做出及时的相应处理 。Objective:To evaluate the relationship between ultrasound imaging and the clinical outcome of mifepristone abortion and its clinical values.Methods:1920 healthy women to undergo mifepristone abortion had ultrasound exams before and after taking mifepristone.Results:170 cases were excluded such as ectopic pregnancy,hydatidiform moles and unqualified for mifepristone abortion.There was no significant defference in the villi discharging despite the gestational sacs varied.But the gestational sac was bigger, the hemorrhage volume was more and the bleeding time was longer,which has statistically significant difference (P<0.01). Ultrasound exams were taken 7 days after taking mifepristone we found 182 cases incomplete abortions,3 cases abortion failures and had appropriate treatments.Conclusion:By sonographic detection before and after taking mifepristone we could find and exclude abnormal pregnancy,identify gestational age,give futher treatments to the cases whose bleeding time was longer than 7 days and reduce the complications.

关 键 词：超声检查 妊娠 药物流产 

分 类 号：R714.21[医药卫生—妇产科学] R445.1[医药卫生—临床医学]