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1、彩超对早期流产诊断意义分析王琨(山东省昌邑市人民医院261300)【中图分类号】R445.1【文献标识码】A【文章编号】1672-5085(2013)23-0122-02【摘要】目的通过比照有早期阴道流血史的孕妇的彩超表现与临床流产的类型,来为早期妊娠流产诊断提供一个彩超的判断依据。方法通过选取分析2012年01月至2012年06月在我院进行彩超的孕妇140人,其中有早期妊娠流血的孕妇70例作为研究组,正常早孕妇女70例作为对照组,运用彩超对140例早孕期妇女进行腹部检查孕囊情况、胎心搏动、子宫胎盘床血流阻力指数和卵巢黄体血流指数变化等,研宄他们早期的彩超表现和对应的临床流产类型,并伴随回访,
2、从而得出一些基木的判断早期妊娠流产类型的依据。结果对照组的70例胚胎成活正常,研究组中21例正常妊娠流血,18例先兆流产,17例难免流产,12例过期流产,8例异位妊娠,1例葡萄胎,经过回访统计,诊断结果与预后情况基木相符,无显著差异,p<0.05。结论通过彩超观察子宫内孕囊的性状、位置、胎心搏动等,可以对早期妊娠流产做出早期判断,为临床上采取进一步处理措施提供有力的依据。【关键词】彩超早期妊娠流产子宫孕囊【Abstract】thetypesandclinicalabortioncolorDopplerultrasoundcontrastearlyvaginalbleedinghistor
3、yinpregnantwomen,toprovidethebasisforjudgingacolorDopplerultrasoundforthediagnosisofearlypregnancy.Methods:byselectingtheanalysisofourhospitalin140pregnantwomenbycolorDopplerultrasoundin201201to201206months,includingearlypregnancybleeding70casesofpregnantwomenasthestudygroup,70casesofnormalpregnantw
4、omenascontrolgroup,usingcolorDopplerultrasoundtoexaminetheabdomenofgestationalsac,fetalheartbeat,uterineandplacentalbedarteryresistanceindexandovarianlutealbloodflowindexchangesof140casesofearlypregnancywomen,oftheirearlycolorDopplerultrasoundandthecorrespondingclinicaltypesofabortion,andalongwithvi
5、sit,thusobtainssometypesofabortionofearlypregnancyinbasicjudgmentbasis.Results:inthecontrolgroup,70casesofnormalembryonicsurvivalinthestudygroup,21casesofnormalpregnancybleeding,18casesofthreatenedabortion,17casesofabortion,12casesofmissedabortion,ectopicpregnancyin8cases,1casesofhydatidiformmole,af
6、terareturnvisitstatistics,diagnosisandprognosisofthebasicline,nosignificantdifference,p<0.05.Conclusion:bycolorDopplerultrasoundtoobservetheintrauterinegestationalsaccharacter,position,fetalheartbeatandsoon,canmaketheearlydiagnosisofabortioninearlypregnancy,fortheclinicaluseofprovideastrongbasisf
7、orthefurtherprocessingmeasures.早期妊娠流产是指孕妇妊娠早期阴道出血,并伴奋腹痛或小腹下坠感,通常仅根据早孕反应及HCG很难做出正确的诊断结果,确认胚胎是否成活,从而为下一治疗做打算,彩超诊断通过观察子宫内孕囊大小、位置、形态、有无胎心搏动等对胚胎是否能够存活做出诊断[1】,为临床处理早期妊娠流产提供了进一步依据,以便采取中止妊娠或保胎措施,保证现代社会人们对优生优育