药物流产后持续子宫出血超声诊断特征的临床意义

The significance for ultrasound feature of prolonged vaginal bleeding after medical termination of early pregnancy

目的 探讨超声对药物流产后子宫持续出血患者的声像图特征。方法 对 73例药物流产后 2周仍有子宫出血者进行经腹及经阴道超声检查 ,观察宫腔内及双侧附件区情况。结果 药流后子宫持续性出血患者的超声声像图特征有如下表现 :①宫内小片状强回声 ;②宫内团块样回声 ;③宫内小孕囊 ;④子宫内膜粗糙 ;⑤卵巢内液性回声 ;⑥宫内团块伴宫腔内积液。结论 通过超声对药物流产后子宫出血时间延长患者的声像图分析 ,认为经腹及经阴道超声检查对临床处理方法的选择具有重要指导意义。

Objective To investigate the ultrasound feature for prolonged vaginal bleeding after medical termination of early pregnancy. Methods Seventy-three cases who still had prolonged bleeding over two weeks after drug aborting were examined with transvaginal sonography (TVS) and transabdominal sonography (TAS) to observe the situation of intrauterine remainder and dnexal. Results The characteristic sonographic features of 73 cases can be shown as six different types: ①Intrauterine thin hyperechoic slice; ②Intrauterine echogenic of mass; ③Intrauterine small sac; ④The endometrial roughness; ⑤A saclike structures in ovary; ⑥Intrauterine echogenic of mass with fluid collection. Conclusion By studying the ultrasound feature for prolonged vaginal bleeding after medical termination of early pregnancy. it is shown that TVS and TAS can be important significance for finding the causes of prolonged vaginal bleeding after drug abortion and instructing the clinic treatment.