异位妊娠盆腔积液深度与腹腔内出血量的相关性研究

Correlation between the pelvic free liquid indicated by transvaginal ultrasound and intra-abdominal hemorrhage

目的:探究经阴道超声所测的盆腔积液深度与腹腔内出血量的关系。方法:选择我院妇产科因异位妊娠行手术治疗的78例患者,测术前1天阴道超声子宫直肠陷凹游离液区最大深度与术中腹腔内出血量。根据后者,分为无腹腔内出血量组,≤100ml组与100~400ml组。将超声所测平均积液深度分别进行t检验。结果:无腹腔出血组与腹腔出血量≤100ml组,≤100ml组与100~400ml组进行t检验后的P值均小于0.05,有显著统计学差异。结论:积液量深度一般在3mm左右的术中发现腹腔内基本没有出血;积液量深度在10~15mm的需要做好腹腔内有少量出血的准备;在15mm以上的很可能腹腔内出血量较大(100~400ml),术前须做好充足准备。

Objective To investigate the relativities between the pelvic free liquid indicated by transvaginal ultrasound and the intra-abdominal hemorrhage. Methods 78 ectopic pregnancy patients in our maternity were collected for examining by ultrasound the day before operation and measuring the intra-abdominal hemorrhage during operation. According to the latter, objects were divided into no intra-abdominal hemorrhage group, 100 ml group and 100~400 ml group. The average depth of effusion measured by ultrasound was conducted by T test. Result No abdominal hemorrhage group and intra-abdominal hemorrhage less than 100 ml group, less than 100 ml group and 100~400 ml group were conducted by T test and the P values were <0.05. Conclusion The amount of fluid depth about 3 mm were basically no intra-abdominal hemorrhage; the amount of fluid depth in 10~15 mm need intra-abdominal bleeding preparation; over 15 mm is likely a large amount of intra-abdominal hemorrhage(100~400 ml) and shall be prepared fully before operation.