经阴道彩色多普勒超声诊断宫内少量妊娠残留物的临床研究

Application of transvaginal sonography in the diagnosis of residual substance in cavity of uterus

目的:探讨经阴道彩超在诊断宫内少量妊娠残留物中的应用价值。方法:50例患者行人工流产、药物流产后经腹超声诊断为宫内未见明显异常,改为经阴道彩超检查。结果:30例宫内少量妊娠残留物(30/50),11例内膜增厚(11/50),9例宫腔内血块(9/50),均经清宫术和病理证实,诊断率100%,两组比较差异有统计学意义(P<0.01)。结论:经阴道彩超检查对宫内少量妊娠残留物的诊断有较高的诊断价值。

Objective To research the clinical value of transvaginal sonography for the residual substance in the cavity of uterus. Method Total 50 eases were diagnosed of no abnormity by abdominal altrasonography after artificial abortion or drug abortion. Then the cases were reexamined by transvaginal sonography. Results Thirty cases had residual substance in the cavity of uterus. The endometrium of 11 cases thickened,9 eases had blood clot in cavity,and the diagnostic rate was 100%. The difference between the two groups was significant. Conclusion It is the applied value to diagnosis residual substance in the cavity of uterus by transvaginal sonography.