| 超声对药物流产后持续阴道出血的诊断及原因分析 |
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| 引用本文： | 徐凤娟. 超声对药物流产后持续阴道出血的诊断及原因分析[J]. 临床和实验医学杂志, 2011, 10(6): 429-431 |
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| 作者姓名： | 徐凤娟 |
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| 作者单位： | 镇江市第二人民医院超声室,江苏,镇江,212002 |
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| 摘 要： | 目的探讨超声对药物流产后持续阴道出血患者的声像图特征及其相应的原因浅析。方法对65例药物流产后7～20 d仍有持续阴道出血患者进行经腹及经阴道超声检查,观察子宫形态、大小,宫腔组织回声及血流情况。结果药物流产后持续阴道出血患者的声像图特征:①子宫内膜粗糙、宫内小片状、团块样强回声,彩色多普勒超声提示无明显血流信号、局部星点状或丰富血流信号,其原因多为绒毛或滋养细胞残留;②宫内出现小孕囊或孕囊继续增大提示药物流产失败;③附件区包块(本文为异位妊娠误用药物流产);④子宫肌瘤且子宫位置极度后倾后屈合并早孕(药物流产后胚胎物排出不够通畅,导致阴道出血时间延长)。结论通过超声对药物流产后持续阴道出血患者的声像图特征及其相应原因的分析,认为经腹及经阴道超声检查对临床处理具有重要指导意义。
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| 关 键 词： | 药物流产 阴道出血 超声 |
Ultrasound diagnosis and analysis of cause of prolonged vaginal bleeding after medical termination of early pregnancy |
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| XU Feng-juan. Ultrasound diagnosis and analysis of cause of prolonged vaginal bleeding after medical termination of early pregnancy[J]. Journal of Clinical and Experimental Medicine, 2011, 10(6): 429-431 |
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| Authors: | XU Feng-juan |
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| Affiliation: | XU Feng-juan.Zhenjiang No.2 People's Hospital,Zhenjiang Jiangsu 212002,China. |
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| Abstract: | Objective To investigate ultrasound characteristics and analyze their corresponding causes for prolonged vaginal bleeding after medical termination of early pregnancy.Methods Sixty-five cases who still had prolonged vaginal bleeding 7-20 days after drug-induced abortion were examined with transabdominal sonography(TAS) and transvaginal sonography(TVS) to observe the uterine shape,size,the situation of intrauterine remainder and blood flow.Results The characteristic ultrasonographic features and causes for p... |
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| Keywords: | Prolonged vaginal bleeding Drug-induced abortion Ultrasound |
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