阴道超声在药物流产中应用的价值探讨

Vaginal ultrasound in the value of application in medical abortion

目的探讨阴道超声监测孕囊大小及子宫位置与药物流产临床结局的相关性及临床应用价值。方法回顾性分析950例要求药物流产的孕妇,用药前阴道超声检查,服药后8天未排出孕囊为药流失败,服药孕囊自行排出后10天阴道超声复查仍有异常回声组织或阴道出血过多淋漓不净最终清宫者为药流失败。结果子宫位置中,后倾后屈位者药流失败率明显高于其他位置;孕囊<8mm组及>25mm组药物流产失败率高有显著差异(P<0.05)。结论阴道超声监测具有方便准确的优点,可监测药物流产效果,并指导临床处理。

Objective To investigate the relationship between gestational sacs（GS） size, Uterine position and medical abortion efficacy by transvaginal ultrasonography and its clinical application value. Methods Analyzing 950 pregnant women requirirlg medical abortion Vaginal ultrasound before using this drug For oral administration 8 days didn＇t see pregnant bursa belongs to medical abortion failure; Gestational sac discharge after 10 days, transvaginal ultrasonography showed abnormalities echo in the Uterine who s bleedi These ng cavity, and all subjects 11 had irregular vaginal were performed curettage, patients are classified as med The in and icine abortion failure. Results rate of medical abortion failure the case with retroverted retroflexton uterus were than that of others. The rates of medical abortion uterus higher ailing or the groups with GS size〈8 mm and GS size〉25 mm simwed sigilificant difference compared with other three groups（P〈0. 05）. Conclusion Transvaginal ultrasonography was convenient to monitor the efficacy of medical abortion and guide clinical treatment.