B超在药物流产中监测作用.docVIP

B超在药物流产中监测作用 　　【摘要】 目的：探讨B型超声动态监测药物流产的临床应用价值。方法：对药物流产的早孕患者，在流产前后进行超声检查，明确流产效果，并比较子宫位置，孕囊大小，孕产次，孕妇年龄，有无子宫肌瘤，有无合并慢性盆腔炎症等对流产结果的影响。结果：在336例药物流产患者中，完全流产301例，不全流产26例，流产失败9例，其中前位子宫完全流产率高于后位子宫，孕囊最大经线＞20mm较孕囊最大经线≤20mm者完全流产率低，孕产次＞2次，完全流产率低于初孕及孕产次≤2次者（P＜0.05）。孕妇年龄，有无子宫肌瘤，有无合并慢性盆腔炎症等因素与药物流产效果无显著相关性（P＞0.05）。结论：B型超声动态监测药物流产可预测及评估流产效果，对临床治疗有重要的指导价值。 　　【关键词】超声;药物流产 　　【Abstract】 Objective To explore the clinical value of the B ultrasound monitoring dynamically in medical abortion.Method: The B ultrasound was performed in the pre-and post medical abortion.The results of abortion were evaluated and the effects of uterine podition(anterior or posterior),the maximal longitude of gestational sac size (＞20mm or ≤20mm),pregnant frequency, the age of pregnant woman ,if having hysteromyoma and if incorporating chronic pelvic inflammatory disease on the abortion results were analysed and compared.Results:336 patients were treated with medical abortion, complete abortion was obtained in 301 cases, incomplete abortion in 29 cases, abortion failure in 6 cases.The rate of complete abortion was significantly higher in anterior position than posterior position,in gestational sac size ≤20mm than in ＞20mm and the frequency of pregnant ≤2 than ＞2.The age of pregnant woman, if having hysteromyoma and if incorporating chronic pelvic inflammatory disease had noobvious correlation. Conclusion: Ultrasound examination can play an important value in predicting ,evaluating the medical abortion effects and guiding clinical treatment. 　　【Keywords】 Ultrasoundmedical abortion 　　 　　【中图分类号】R696 【文献标识码】B 【文章编号】1005-0515(2011)06-0034-02 　　药物流产是一种安全，有效的非手术中止早孕的方法[1]，因其痛苦小，方法简便及副作用少等优势而被普遍采用。但仍存在着流产不全，流产失败，流产后阴道出血量多，持续时间长及感染等问题。为了客观评价药物流产的临床效果，了解影响药物流产效果的各种因素，减少副作用及并发症的发生，回顾性调查了我院2006.9至2010.12月要求药物流产的336例早孕妇女，进行药物流产前后B超监测的情况，从而探讨B超在药物流产中的诊断价值，疗效判断和对临床的指导作用。 　　1 资料与方法 　　1.1 对象：我院2006.9至2010.12月要求药物流产的968例早孕妇女336例，患者年龄18-46岁，停经天数35-49天，无药物流产禁忌。服药前告知患者药物流产的利弊及注意事项，并签署知情同意书。 　　1.2 仪器：采用美国通用电器公司生产的LOGIQ 400 BW P