妊娠早期阴道出血临床特点分析.docVIP

精品论文 参考文献 妊娠早期阴道出血临床特点分析 邱容芳 陶光源（达州市中心血站附属医院 四川达州 635000） 【中图分类号】R714.2【文献标识码】A【文章编号】1672-5085（2011）38-0037-03 【摘要】目的 探讨妊娠早期阴道出血的临床特点。方法 选择我院2009年2月至2011年2月收治的妊娠早期阴道出血患者80例，对其临床资料进行回顾性分析。结果 妇科检查：本组患者60例中，宫颈息肉10例，占16.7%；先兆流产45例，占75%；阴道炎3例，占5%；宫颈糜烂6例，占10%；先兆流产中合并宫颈息肉1例，宫颈糜烂2例。B超检查：先兆流产45例，胚胎停止发 育7例，NT测定成功8例，宫腔有积血征象。兆流产45例与正常对照组比较略低，Plt;0.001，与对照组比较TSH无明显差异。与对照组比较，非先兆流产15例患者TSH及P测定无差异（Pgt;0.05）。患者Torch检测均为阴性。手术结束后行2-3d的卧床休息，阴道出血情况经处理后均消失，无流产情况发生。结论 引起妊娠早期出血的原因较为多样，需及时明确诊断，并采取针对性的措施治疗，提高患者生存质量。 【关键词】妊娠早期 阴道出血 临床特点 【Abstract】 Objective: To evaluate vaginal bleeding during early pregnancy clinical features. Methods: Our hospital from February 2009 to February 2011 vaginal bleeding during early pregnancy were treated 80 patients, the clinical data were retrospectively analyzed. Results: The pelvic examination: 60 patients in this group, cervical polyps in 10 cases, accounting for 16.7%; threatened abortion in 45 cases, 75%; vaginitis in 3 cases, 5%; cervical erosion in 6 cases, 10%; threatened abortion in one case combined cervical polyps, cervical erosion in 2 cases. B-ultrasonic examination: 45 cases of threatened abortion, the embryo stops growing seven cases, NT measurement success in 8 cases, signs of uterine blood there. Trillion abortion 45 cases compared with the control group was slightly lower, Plt;0.001, compared with the control group no significant difference in TSH. Compared with control group, 15 patients with non-threatened abortion determined no difference in TSH and P (Pgt;0.05). Torch patients were negative. The end of surgery underwent 2-3d of bed rest, vaginal bleeding disappeared after treatment, no abortion occurs. Conclusion: The causes of bleeding during early pregnancy caused a more diverse, the need for timely diagnosis and treatment to take targeted measures to improve patient quality of life. 【Keywords】 early pregnancy vaginal bleeding clinical features 临床妊娠12周末定义为妊娠早期，阴道出血在此期发生，多考虑先兆流产，对葡萄胎等其它疾病所致的阴道出血易忽视，造成误诊误治发生