B超诊断药物流产后阴道出血时间延长93例分析

The analysis on ultrasonography in prolonging of vaginal bleeding after medicinal abortion

目的:探讨药物流产后阴道出血时间延长的B超诊断价值。方法:对93例药物流产后阴道出血时间延长者采用B超监测,根据B超结果决定药物或手术干预。结果:67例B超阳性结果者行清宫术,均见残留物,B超结果与宫内清出物符合率为100%;26例B超阴性结果者给予药物干预,其中21例血止,5例药物干预失败行诊刮见少许残留物,B超结果符合率为80.77%。结论:为减少因药物流产引起的阴道异常出血,适时配合B超检查,及时处理是十分必要的。

Objective： To study the value of ultrasonography in prolonging of vaginal bleeding after medicinal abortion. Methods： 93 cases of prolonging vaginal bleeding after medicinal abortion were examined with ultrasonography. They will be given medicine treatment or operation according to the result of examination. Results： 67 cases with positive reaction in ultrasonography were given D and C, and intrauterine fetal residual can be found. The coincidence rate in ultrasonography and intrauterine fetal residual were 100%. 26 cases with negative reaction were given medicine treatment , 21 of them bleeding stopped. 5 of them were given D and C after medicine treatment failed and found a little residule. The coincidence rate in ultrasonography and intrauterine fetal residual were 80. 77%. Conclusion： Ultrasonography examination on time is of great significance to reduce postabortion vaginal irregular bleeding after taking medicinal abortion.