关于超声监测在药物流产中的临床价值讨论

Clinical Value of Ultrasonic Monitoring Used in the Medical Abortion

目的探讨超声监测在药物流产术前后宫腔改变的临床价值。方法对停经35天以上400例早孕者及228例术后病例进行超声监测。结果400例临床诊断早孕者中,超声诊断宫内早孕397例,其中宫内节育环并早孕3例,异位妊娠3例,诊断符合率达99.3%。药物流产术后228例行超声检查,211例流产成功,2例流产失败,15例流产不全。孕囊小,完全流产率高,不全流产者,用超声监测判断宫腔残留物的大小,根据残留物声像图不同,指导临床做相应处理。结论超声检查为药物流产术前宫内早孕诊断的必须检查及首选检查方法,同时对药物流产术后患者的跟踪超声检查也很重要,是一种必不可少的检查方法。

Aim Explore the clinical value about the change of intrauterine using ultrasonic monitoring. Methods Use ultrasonic monitoring in those 35 days of post-menopausal 400 sufferers who had early pregnancy and those postoperative 228 cases. Results In the 400 cases with early pregnancy, 397 cases are intrauterine pregnancy, 3cases are IUD and pregnancy and 3 cases are ectopic pregnancy, are diagosed by ultrasonic monitoring. The correctness is up to 99.3%. 228 cases are examined after the operation, 201 cases that are aborted are successful, 2 cases are failed and 15 cases are incomplete abortion. Fertilized egg is small and the rate of abortion is high. For those incomplete abortions, the size of uterine cavity residues is diagnosed by ultrasonic monitoring, and according to the sonogram, gives proper treatment. Conclusion Ultrasonic examination is the favorite way to examine the early pregnancy, and at the same time, tracking examination is essential and necessary.