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编号:12871940
经阴道超声测量子宫宫腔团块的厚度和体积诊断不全流产的价值(1)
http://www.100md.com 2016年5月25日 《中国现代医生》 2016年第15期
     [摘要] 目的 评估采用超声测量方法诊断临床怀疑不全流产患者宫腔残留妊娠物的应用价值。 方法 回顾性分析2013年1月~2015年6月在我院临床怀疑不全流产并行清宫术的患者共145例,经阴道超声测量子宫内异常回声团块的厚度及体积,清宫术后的组织送病理学检查。对比研究宫内异常回声团块的厚度、体积与病理学结果的相关性。 结果 145例患者中,102例(70.3%)病理学检测发现绒毛膜组织,43例(29.7%)仅发现蜕膜组织。未发现有意义的团块厚度或体积的参考值,可以用来区分妊娠残留物和蜕膜组织。 结论 超声测量子宫内异常团块的厚度或体积,不是诊断不全流产的有效指标。

    [关键词] 不全流产;妊娠残留物;超声;子宫内膜

    [中图分类号] R445.1 [文献标识码] B [文章编号] 1673-9701(2016)15-0084-03

    [Abstract] Objective To access the applicable value of diagnosing retained products of conceptions(RPOC) by transvaginal ultrasonography in 145 women with clinical diagnosis of incomplete miscarriage. Methods A retrospective study was performed to analyze the data in 145 female patients treated during the period from Jan 2013 to June 2015.These women were suspected that there were retained tissue in uterus after incomplete miscarriage.The measurement of endometrial thickness and volume were acquired by transvaginal ultrasonography. And all the tissues in uterus were for pathological examination. The relationship among endometrial thickness ......
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