摘要
目的 探讨彩色多普勒超声判断药物流产后宫内残留的应用价值。方法 316例药物流产后阴道持续性出血妇女,通过经阴道彩色多普勒超声检查,检测二维声像图变化及子宫螺旋动脉RI的变化,并与尿HCG检测、病理检查、临床随访情况对照。结果 二维超声检查能直观显示子宫腔内残留物的回声;彩色多普勒超声可根据子宫螺旋动脉RI的变化,反映子宫内膜的血供情况,但要注意炎症、坏死等因素的影响。结论 在应用阴道彩超观察药物流产时,应注意子宫内膜间静脉血流信号的分布情况,有助于判断残留物的性质。
Objective To explore the clinical application of color Doppler to detect intrauterine residue after pharmaceutical abortion. Methods Three hundred and sixteen women with postabortion vagina hemorrhage were examined. Changes in the resistance index( RI) of flow velocity waveforms of the spiral arteries, were compared with urine HCG, pathology and clinical observation were compared. Results Two dimensional ultrasound provided information about the morphology of the intrauterine residue, while Doppler ultrasound could determine flow character of the uterine spiral artery, and therefore reflect the endo-metrial perfusion. However, the RI must not be considered independent of changes in pathological variables such as inflammation and putrescence. Conclusion Awareness of the distribution of endometrial venous blood flow in vaginal hemorrhage after pharmaceutical abortion by color Doppler is useful for judging the property of residue. This method has important clinical value.
出处
《上海第二医科大学学报》
CSCD
2003年第5期433-435,共3页
Acta Universitatis Medicinalis Secondae Shanghai
