B型超声对人工流产术后患者异常阴道出血诊断价值分析.doc

B型超声对人工流产术后患者异常阴道出血诊断价值分析 　　【摘要】目的：探讨B型超声对人工流产术后患者异常阴道出血的诊断价值。方法：随机选取于2013年1月至2014年6月前来我院和惠州市中心人民医院接受治疗的行人工流产术后阴道异常出血患者各53例作为本次研究实验对象，根据入院时间先后将患者分成观察组54例和对照组52例，对照组患者入院后进行常规护理干预，观察组患者在此基础上联合B型超声检查，观察并记录异常出血原因，记录两组患者止血时间和各时间点的出血量，分析比较。结果： 观察组患者经B超检查后，有28例（51.85%）患者是由于组织残留，清宫不净引起的异常出血，10例是宫内感染造成，4例患者子宫穿孔，6例患者子宫缩复不良，6例子宫腔积血。观察组3d后有4例患者无出血情况发生，无10d以上出血患者，对照组10d以上出血的仍有12例，两组比较有统计学意义（P0.05）。术后两组患者出血量相差不大，但3d后观察组患者出血量明显少于对照组患者，两组比较有统计学意义（P0.05）；观察组6d后出血量显著减少，组间比较有统计学意义（P0.05）。结论：B型超声能及早诊断行人工流产术后阴道异常流血患者的出血原因，有利于医生了解子宫内情况，采取相应的对症治疗措施，减少出血量，缩短止血时间，有利于患者子宫早期恢复，提高生活质量，值得广泛推荐使用于临床当中。 　　【关键词】人工流产；阴道异常出血；影响因素；B型超声；诊断价值 　　The diagnostic value of B-mode ultrasound and related factors on artificial abnormal vaginal bleeding after abortionWANG Weichun1， LUO Cuijuan1， YANG Lifen2. 1. B ultrasonic Room， Huizhou City First Maternal and Child Health Care Hospital， Huizhou 516001， China； 2. Department of Obstetrics and Gynecology， Huizhou Central Hospital， Huizhou 516001， China 　　【Abstract】Objectives： To study the diagnostic value of B-mode ultrasound and related factors on artificial abnormal vaginal bleeding after abortion. Methods： 106 patients received routine artificial abortion with abnormal vaginal bleeding from January 2013 to June 2014 were selected and divided into observation group （n=54） and control group （n=52） according to the admission time. Patients in the control group received routine nursing intervention while the observation group received additional B-mode ultrasound examination. The causes of abnormal bleeding in observation group and the hemostatic time and bleeding amount in the two groups were recorded and analyzed. Results： 28 patients （51.85%） in the observer group had abnormal bleeding due to tissue residues and incomplete curettage； 10 patients were caused by intrauterine infection， 4 patients by uterine perforation， 6 patients by poor uterus recovery and 6 cases by uterine hemorrhage. Four patients did not have bleeding in the observation group three day