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目的探讨彩色多普勒超声在早期胚胎停育中的诊断价值。方法应用经腹及经阴道彩色多谱勒超声对首次超声确诊及可疑胚胎停育二次超声确诊病例的超声表现进行分析总结。结果超声一次确诊者60例(80%),二次确诊者15例(20%),其中枯萎孕卵33例(45%),均未见卵黄囊显示;胚胎死亡21例(28%),其中卵黄囊枯萎17例(23%),增大4例(5.3%)。结论经腹及经阴道彩色多普勒超声能对胚胎停育及早、快速、准确地进行明确诊断,能早期发现宫内胚胎发育异常,可指导临床及时处理,具有重要的临床应用价值。
Objective To investigate the diagnostic value of color Doppler ultrasonography in early embryo implantation. Methods Ultrasonographic findings of the first ultrasound confirmed by ultrasound and transvaginal color Doppler ultrasonography were analyzed. Results There were 60 cases (80%) diagnosed by ultrasound once, 15 cases (20%) diagnosed by second diagnosis, and 33 cases (45%) withered pregnancy withered eggs. No yolk sac was found. 21 cases died of embryo (28% Among them, the yolk sac withered in 17 cases (23%), an increase of 4 cases (5.3%). Conclusion The transabdominal and transvaginal color Doppler ultrasound can diagnose early, rapid and accurate embryo stop, which can detect intrauterine embryo dysplasia early and guide clinical treatment in time. It has important clinical value.