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我院20例超声诊断宫腔残留组织,应用腹部超声监视行清宫手术治疗,收到了良好的效果,所有病例均经病理证实,现报道如下。 资料与方法 20例宫腔残留组织者,均是我院门诊及住院患者,年龄21～35岁,以阴道出血就诊17例,其中中期妊娠引产5例,人工流产4例,药物流产8例。出血时间最短7天,最长一个月。人流后仍有早孕反应的就诊患者3例,3例中有2例曾盲目的行两次清宫术后仍未成功。使用东芝SSA—220A超声显像仪,探头频率为3.5MHz,患者适度充盈膀胱,经耻骨上纵行横行普通超声检查,确定宫腔残留组织的部位、大小及异常妊娠的部位,患者取膀胱截石位,按常规消毒外阴和阴道,然后在腹壁超声监视下,对宫腔手术过程进行连续监视,残留组织的声像图表现为宫腔内似胎盘回声的强回声团,部分兼有不规则积血小的无回声区,少数呈网络状强回声,宫内残留物与宫壁界限均较清楚,在清除过程中,声像图可清晰显示末
Ultrasound diagnosis of uterine cavity in 20 cases of residual tissue in our hospital, the application of abdominal ultrasound monitoring line Qing operation, received good results, all cases were confirmed by pathology, are reported below. Materials and Methods Twenty cases of residual uterine tissue were all outpatients and inpatients of our hospital, aged 21-35 years old. Seventeen patients were treated with vaginal bleeding. Among them, 5 were induced by mid-term pregnancy, 4 were induced abortion, and 8 were abortion. The shortest bleeding time of 7 days, the longest month. After the abortion there are still three cases of early pregnancy response patients, three cases in two cases had blind line twice after the curettage has not been successful. The use of Toshiba SSA-220A ultrasound imaging device, the probe frequency 3.5MHz, moderate filling of the bladder in patients with the general supra-pubic transverse line ultrasonic examination to determine the location of the uterine cavity residual tissue size, and abnormal pregnancy sites, patients with bladder section Stone position, according to conventional disinfection of the vulva and vagina, and then under abdominal ultrasound monitoring of uterine cavity surgery continuous monitoring process, residual tissue showed ultrasonography of the uterine cavity like placental echo strong echo group, part of both irregular Small anechoic area, a few were network-like echo, intrauterine residue and Palace wall boundaries are more clear in the removal process, the sonogram can clearly show the end