超声诊断孕早期胎膜后出血与流产率的研究

Clinical Analysis of First Trimester Postmembrane - Bleeding by Ultrasonic

目的:探讨超声诊断早孕期胎膜后积血与妊娠结局的关系。方法:妊娠3个月内有首次阴道出血,经超声检查有胎膜后积血者,8周后经B超证实有无继续妊娠及胚胎活动情况。结果:根据出血程度进行评估,发现轻、中度出血的预后相差很少,重度出血的自然流产率是轻、中度出血的4～5倍,轻、中度出血与重度出血比较,有显著性差异(P<0.05)。结论:评估胎膜后出血程度对于临床治疗具有一定意义,对预测能否继续妊娠有重要的参考价值,超声可作为首选方法,超声随访可估测预后。

Objective; To explore the relationship between the first trimester postmembrane - bleeding and pregnant result was explored by ultrasonic diagnostic method. Methods: Patients with the first vagina bleeding during the first three months pregnancy and were diagnosed as postmembrane - bleeding by ultrasonic examination. The pregnancy and the fetal movement were confirmed by ultrasonic examination after eight weeks. Results:The prognoses was evaluated according to the bleeding degree. The result showed that the difference of prognoses between light degree and medial degree bleeding was small. While the natural a-bortion rate in those patients of heavy degree bleeding improved four - times at least than that of light and medial degree bleeding (P <0. 05). It had obvious difference. Conclusion ;The evaluation on postmembrane - bleeding degree should be helpful for the clinical treatment. It has important reference to forecast whether the pregnancy can be continued.