CAJ | 학술논문

目的：探讨阴道超声监测孕囊大小及子宫位置与药物流产临床结局的相关性及临床应用价值。方法回顾性分析950例要求药物流产的孕妇，用药前阴道超声检查，服药后8天未排出孕囊为药流失败，服药孕囊自行排出后10天阴道超声复查仍有异常回声组织或阴道出血过多淋漓不净最终清宫者为药流失败。结果子宫位置中，后倾后屈位者药流失败率明显高于其他位置；孕囊﹤8mm组及>25mm组药物流产失败率高有显著差异(P﹤0.05)。结论阴道超声监测具有方便准确的优点，可监测药物流产效果，并指导临床处理。
목적：탐토음도초성감측잉낭대소급자궁위치여약물유산림상결국적상관성급림상응용개치。방법회고성분석950례요구약물유산적잉부，용약전음도초성검사，복약후8천미배출잉낭위약류실패，복약잉낭자행배출후10천음도초성복사잉유이상회성조직혹음도출혈과다림리불정최종청궁자위약류실패。결과자궁위치중，후경후굴위자약류실패솔명현고우기타위치；잉낭﹤8mm조급>25mm조약물유산실패솔고유현저차이(P﹤0.05)。결론음도초성감측구유방편준학적우점，가감측약물유산효과，병지도림상처리。
Objective To investigate the relationship between gestational sacs(GS) size,Uterine position and medical abortion efficacy by transvaginal ultrasonography and its clinical application value. Methods Analyzing 950 pregnant women requirirlg medical abortion Vaginal ultrasound before using this drug.For oral administration 8 days didn't see pregnant bursa belongs to medical abortion failure;Gestational sac discharge after 10 days,transvaginal ultrasonography showed abnormalities echo in the <br> Uterine cavity, and all subjects who still had irregular vaginal bleeding were performed curettage, These patients are classified as medicine abortion failure.Results The rate of medical abortion failure in the case with retroflexion uterus and retroverted uterus were higher than that of others. The failing rates of medical abortion for the groups with GS size﹤8 mm and GS size>25 mm simwed sigilificant difference compared with other three groups(P﹤0.05).Conclusion Transvaginal ultrasonography was convenient to monitor the efficacy of medical abortion and guide clinical treatment.