摘要
目的彩色多普勒超声血流显像(CDFI)对宫内残留物的检测方法与临床价值研究。方法对151例应用经腹、经阴道超声诊断出宫内残留物的病例,将其超声诊断结果与清宫后病理结果对照分析。结果在151例超声诊断出宫内残留物的病例中,经病理检查证实残留绒毛、蜕膜或同时残留者为146例,占总病例数的97%(146/151),其中约95%(138/146)的病例在超声检查时见到子宫肌壁近内膜处有丰富的局灶性血流信号,仅有约5%(8/146)的病例未见到血流信号。结论药物流产后,CDFI对近子宫内膜处血流的探测结果,是诊断宫内残留物的关键依据,它为临床提供了重要信息。
Objective To evaluate color Doppler flow imaging (CDFI) and its clinical value on detection of the intrauterine residue after medical abortion. Methods We compared the ultrasound imaging and the pathological results of 151 cases of intrauterine residue after medical abortion. Results A total of 97% (146/151) cases were confirmed pathologically with remnant chorion or deciduas or both, including 138 (95%) revealed woth rich local blood flow signals at the myometrium close to endometrium under ultrasound detection and 8 (5 %) without blood flow signal. Conclusion Detecting blood flow at the endometrium by CDFI after medical abortion plays the key role in diagnosis of intrauterine residue.
出处
《中国妇产科临床杂志》
2007年第3期185-188,共4页
Chinese Journal of Clinical Obstetrics and Gynecology