经阴道超声监测孕囊大小与药物流产效果分析

Transvaginal ultrasound monitoring of gestational sac size and drug abortion

目的分析经阴道超声监测孕囊大小与药物流产效果,探究药物流产效果与孕妇孕囊大小的关系。方法回顾分析义乌市妇幼保健计生服务中心2015年2月~2016年7月收治的50例使用药物进行流产的孕妇的临床资料,将孕妇分为孕囊小于10mm以及10~25 mm和大于25 mm 3组。在孕妇服药前均对其进行阴道超声检查,记录结果。在孕妇服药7d后,对其进行阴道超声检查。结果经过阴道超声监测结果可得,孕囊大小小于10 mm孕妇为13例,2例孕妇流产失败,4例不完全流产,7例完全流产,流产失败概率为15.4%;孕囊大小范围在10~25 mm的孕妇为25例,2例孕妇流产失败,2例孕妇不完全流产,21例完全流产,流产失败概率为8.0%;孕囊大小大于25 mm孕妇为12例,4例孕妇流产失败,2例孕妇不完全流产,6例孕妇完全流产,流产失败概率为33.3%。3组孕妇之间的流产失败率差异具有统计学意义（P〈0.05）。结论在孕妇进行药物流产的过程中,利用阴道超声监测,能够在一定程度上对孕妇的孕囊情况进行监测,并显示药物流产的效果,有利于后续的治疗和操作,从而降低孕妇痛苦,提高流产成功率。

Objective To study the effect of transvaginal ultrasound on the size of gestational sac and drug abortion, and to explore the relationship between the effect of drug abortion and the gestational sac size.MethodsIn our hospital in July 2016 were treated 50 cases of drug abortion of pregnant women as the research object in the process in February 2015, a retrospective analysis of 50 cases of pregnant women, patients were divided into gestational sac and greater than 10 and less than 10mm to 25mm 25mm three.Transvaginal ultrasound was performed before taking the medicine.After 7 days, the patients were examined by transvaginal ultrasound.The results showed that 7 patients had abortion failure, and the other 5 patients had incomplete abortion.ResultsTransvaginal ultrasound monitoring results can be obtained, the gestational sac size of less than 10 mm in patients with a total of 13 cases, abortion in patients with failure of the 2 cases, incomplete abortion in 4 cases, complete abortion in 7 cases, abortion failure probability was 15.4%.The gestational sac size ranged from 10mm to 25mm in a patient with a total of 25 cases, with a miscarriage of failure in a total of 2 patients, incomplete abortion in a total of 2 patients, complete abortion in a total of 21 patients, and a miscarriage probability of failure of up to ＆amp; 8%.The gestational sac size is greater than 25 mm in patients with a total of 12 cases, the abortion of the failure of the patients in the 4 cases, incomplete abortion in the 2 cases, complete abortion in the 6 cases, the probability of abortion failure was 33.3%.Therefore, there was a significant difference between the three groups in the rate of abortion failure （P〈0.05）.ConclusionThe process of drug abortion in pregnant women, the use of transvaginal ultrasound monitoring, can monitor the situation of pregnant women with gestational sac in a certain extent, and that the effect of drug abortion, is conducive to the treatment and the subsequent operation, thereby reducing the pain of patients, improve the success rate of miscarriage.