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目的 :通过对彩色多普勒超声诊断药物流产后子宫腔内残留物的作用分析,提高药物流产后子宫腔内残留物的诊断率。方法 :调查回顾我院2014年4月—2016年3月74例采用药物流产的孕妇,所有孕妇均在药物流产后对宫内残留物行彩色多普勒超声诊断,记录并分析结果。结果 :经彩色多普勒超声诊断检查以后,74例孕妇中子宫有增大趋势的孕妇共有54例,占72.97%,并且子宫增大的程度正比于药物流产过后子宫腔内的残留物的多少。在行清宫术三天到七天后,54例孕妇全部进行彩色多普勒超声的再次检查,检查结果为54例孕妇的子宫内回声都正常。剩余的20例孕妇子宫没有增大的趋势为正常或者是微大,彩超中可以观察到子宫内有低回声,对症治疗后其中有17例孕妇子宫内回声正常,2例孕妇在流产三天后回声恢复正常,一例孕妇需进行手术清理子宫。结论:彩色多普勒超声对患者无创伤,操作简单易行,重复性好,现如今已经成为妇产科对孕妇身体情况检查的重要方式之一,在药物流产后子宫腔内残留物的诊断中也具有极大的重要性和价值,值得妇产科广泛推广和应用。
OBJECTIVE: To improve the diagnostic rate of residual uterine cavity after medical abortion by analyzing the role of color Doppler ultrasonography in the diagnosis of residual uterine cavity after medical abortion. Methods: The survey reviewed 74 cases of pregnant women using medical abortion in our hospital from April 2014 to March 2016. All pregnant women underwent color Doppler ultrasonography to diagnose intrauterine residue after medical abortion, and recorded and analyzed the results. Results: After color Doppler ultrasound examination, 74 pregnant women in the uterus increased trend of pregnant women a total of 54 cases, accounting for 72.97%, and the degree of uterine enlargement is proportional to the number of residues in the uterine cavity after medical abortion . In the line of curettage three days to seven days after the 54 pregnant women all the color Doppler ultrasound again check the results of 54 cases of pregnant women with normal uterine echo. The remaining 20 cases of pregnant women uterus did not increase the trend of normal or micro, ultrasonography can be observed in the uterus with hypoechoic, symptomatic treatment of which 17 cases of pregnant women with intrauterine echo normal, two pregnant women in abortion three days after the echo Return to normal, a pregnant woman needed surgery to clean the uterus. CONCLUSION: Color Doppler ultrasound is noninvasive to patients with simple and easy operation and good repeatability. Nowadays it has become one of the most important ways for obstetrics and gynecology to check the physical condition of pregnant women. The diagnosis of residual uterine cavity after medical abortion Also has great importance and value, it is worthy of extensive promotion and application of obstetrics and gynecology.