宫内妊娠物残留超声分型诊断价值探讨(1)
【摘 要】目的：探討超声分型方法诊断宫内妊娠物残留的临床价值。方法：应用超声检查人工流产及药物流产后宫内妊娠物残留37例，对所检查病例进行超声分型，于流产后超声复查，结合清宫情况，评价超声分型价值。结果：37例宫内妊娠物残留，团块型26例，超声表现为团块状，中等回声、高回声、低回声、无回声区或混合回声，多为中等或略高回声，26例均行清宫术，术后宫内残留消失；薄片型6例，超声表现为片状及条带状中高回声，6例均行清宫术，术后5例宫内残留消失，1例残留物变小；斑点型5例，超声表现为点状的略高回声及中等回声回声，2例行清宫术，术后宫内残留消失，另外3例月经后复查，残留物消失。本组37例中，有34例行清宫术，清宫完全者33例，清宫成功率为97.06%。结论：超声检查对宫内妊娠物残留的分型，从残留物所在部位、大小、形态等方面，为临床提供了一个完整的图像信息，易于让临床医生对残留物有一个立体的定位，从而，使超声检查对宫内妊娠物残留的分型，为临床治疗措施的选择发挥了重要的指导作用。
【关键词】超声；子宫；流产；妊娠物残留；分型法
, 百拇医药
The value of ultrasonographic classification in the diagnosis of intrauterine pregnancy residues
SHI Wei-qian(Department of Ultrasonic Diagnosis， Luozhuang Central Hospital， Linyi City， Shandong Province， 276002)
Abstract：Objective To investigate the clinical value of ultrasonographic classification in the diagnosis of intrauterine pregnancy. Methods： Ultrasonic examination of 37 cases of intrauterine pregnancy after abortion and medical abortion was conducted. Ultrasonic classification was performed on the examined cases. Ultrasonic review was performed after abortion， and the value of ultrasonic classification was evaluated in conjunction with the Qing Dynasty. Results： 37 cases of intrauterine pregnancy residue， 26 cases of cluster type， ultrasound showed mass， medium Echo， high Echo， low Echo， no echo area or mixed Echo， mostly medium or slightly high Echo， 26 cases all performed clearance. Palace surgery， postoperative intrauterine residue disappeared； In 6 cases of laminar type， the ultrasound showed a lamellar and banded medium and high Echo， 6 cases all performed clearance surgery， 5 cases of intrauterine residue disappeared after surgery， and 1 case of residue became smaller； In 5 cases of speckle type， the ultrasound showed a slightly higher echo and a medium Echo， 2 routine clearance operations， the intrauterine residue disappeared after surgery， and 3 other cases were reviewed after menstruation and the residue disappeared.Among the 37 cases in this group， there were 34 routine Qinggong operations， 33 cases of Qing Palace complete，and the Qing Palace success rate was 97.06%. Conclusions： The classification of intrauterine pregnancy residues by ultrasound provides a complete image information for the clinic from the site， size， and morphology of the residues. It is easy for the clinician to have a three-dimensional positioning of the residues. Ultrasound examination on the classification of intrauterine pregnancy remains for the choice of clinical treatment measures played an important guiding role., http://www.100md.com(史维倩)
【关键词】超声；子宫；流产；妊娠物残留；分型法
, 百拇医药
The value of ultrasonographic classification in the diagnosis of intrauterine pregnancy residues
SHI Wei-qian(Department of Ultrasonic Diagnosis， Luozhuang Central Hospital， Linyi City， Shandong Province， 276002)
Abstract：Objective To investigate the clinical value of ultrasonographic classification in the diagnosis of intrauterine pregnancy. Methods： Ultrasonic examination of 37 cases of intrauterine pregnancy after abortion and medical abortion was conducted. Ultrasonic classification was performed on the examined cases. Ultrasonic review was performed after abortion， and the value of ultrasonic classification was evaluated in conjunction with the Qing Dynasty. Results： 37 cases of intrauterine pregnancy residue， 26 cases of cluster type， ultrasound showed mass， medium Echo， high Echo， low Echo， no echo area or mixed Echo， mostly medium or slightly high Echo， 26 cases all performed clearance. Palace surgery， postoperative intrauterine residue disappeared； In 6 cases of laminar type， the ultrasound showed a lamellar and banded medium and high Echo， 6 cases all performed clearance surgery， 5 cases of intrauterine residue disappeared after surgery， and 1 case of residue became smaller； In 5 cases of speckle type， the ultrasound showed a slightly higher echo and a medium Echo， 2 routine clearance operations， the intrauterine residue disappeared after surgery， and 3 other cases were reviewed after menstruation and the residue disappeared.Among the 37 cases in this group， there were 34 routine Qinggong operations， 33 cases of Qing Palace complete，and the Qing Palace success rate was 97.06%. Conclusions： The classification of intrauterine pregnancy residues by ultrasound provides a complete image information for the clinic from the site， size， and morphology of the residues. It is easy for the clinician to have a three-dimensional positioning of the residues. Ultrasound examination on the classification of intrauterine pregnancy remains for the choice of clinical treatment measures played an important guiding role., http://www.100md.com(史维倩)
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