中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
23期
103-105,106
,共4页
经阴道彩超%尿hCG定量%早孕期%阴道流血
經陰道綵超%尿hCG定量%早孕期%陰道流血
경음도채초%뇨hCG정량%조잉기%음도류혈
Transvaginal color Doppler ultrasound%Urinary hCG quantification%Early pregnancy%Vaginal bleeding
目的：探讨经阴道彩超联合尿hCG定量动态监测对早孕期阴道流血预后评估的价值。方法：收集2012年4月-2015年3月本院门诊及住院部接诊的早孕期阴道流血并要求保胎治疗的589例患者的临床资料，按妊娠结局将其分为正常妊娠324例（A组）、自然流产162例（B组）、异位妊娠75例（C组）、葡萄胎28例（D组），四组进行了超声影像与临床观察的对比性研究。结果：A组及B组的子宫内可见孕囊，但发育情况有明显差异。A组的孕囊最大径每周增长大于10 mm的比例明显高于B组，差异有统计学意义（P<0.01），同时A组的尿hCG定量每48小时增长比率≥200的比例明显高于B组，差异有统计学意义（P<0.01）。C组及D组子宫内未能显示正常孕囊结构，但尿hCG定量每48小时增长比率比较差异有统计学意义（P<0.01）。结论：阴道彩超通过宫内外检查孕囊最大径增长值，同时联合尿hCG定量48 h增长比率，能够准确判断早孕期阴道流血的性质，可为临床分析疾病性质、制定治疗方案、评价疗效提供科学依据。
目的：探討經陰道綵超聯閤尿hCG定量動態鑑測對早孕期陰道流血預後評估的價值。方法：收集2012年4月-2015年3月本院門診及住院部接診的早孕期陰道流血併要求保胎治療的589例患者的臨床資料，按妊娠結跼將其分為正常妊娠324例（A組）、自然流產162例（B組）、異位妊娠75例（C組）、葡萄胎28例（D組），四組進行瞭超聲影像與臨床觀察的對比性研究。結果：A組及B組的子宮內可見孕囊，但髮育情況有明顯差異。A組的孕囊最大徑每週增長大于10 mm的比例明顯高于B組，差異有統計學意義（P<0.01），同時A組的尿hCG定量每48小時增長比率≥200的比例明顯高于B組，差異有統計學意義（P<0.01）。C組及D組子宮內未能顯示正常孕囊結構，但尿hCG定量每48小時增長比率比較差異有統計學意義（P<0.01）。結論：陰道綵超通過宮內外檢查孕囊最大徑增長值，同時聯閤尿hCG定量48 h增長比率，能夠準確判斷早孕期陰道流血的性質，可為臨床分析疾病性質、製定治療方案、評價療效提供科學依據。
목적：탐토경음도채초연합뇨hCG정량동태감측대조잉기음도류혈예후평고적개치。방법：수집2012년4월-2015년3월본원문진급주원부접진적조잉기음도류혈병요구보태치료적589례환자적림상자료，안임신결국장기분위정상임신324례（A조）、자연유산162례（B조）、이위임신75례（C조）、포도태28례（D조），사조진행료초성영상여림상관찰적대비성연구。결과：A조급B조적자궁내가견잉낭，단발육정황유명현차이。A조적잉낭최대경매주증장대우10 mm적비례명현고우B조，차이유통계학의의（P<0.01），동시A조적뇨hCG정량매48소시증장비솔≥200적비례명현고우B조，차이유통계학의의（P<0.01）。C조급D조자궁내미능현시정상잉낭결구，단뇨hCG정량매48소시증장비솔비교차이유통계학의의（P<0.01）。결론：음도채초통과궁내외검사잉낭최대경증장치，동시연합뇨hCG정량48 h증장비솔，능구준학판단조잉기음도류혈적성질，가위림상분석질병성질、제정치료방안、평개료효제공과학의거。
Objective:To investigate the assessment value of transvaginal color Doppler ultrasound combined with urinary hCG quantitative dynamic monitoring of vaginal bleeding in early pregnancy prognosis.Method:The clinical data of 589 outpatients and inpatients with vaginal bleeding in early pregnancy who required tocolytic therapy from April 2012 to March 2015 were collected.According to the pregnancy outcome,they were divided into 324 cases of normal pregnancy(the group A),162 cases of spontaneous abortion(the group B),75 cases of ectopic pregnancy(the group C),28 cases of hydatidiform mole(the group D).The comparative study of ultrasound imaging and clinical observation of the four groups was carried out.Result:Intrauterine gestational sac was seen in the group A and the group B,but there were significant differences in the development conditions. The proportion of maximum diameter of gestational sac increased more than 10 mm per week in the group A was significantly higher than the group B,the difference was statistically significant(P<0.01).While the proportion of the growth rate of urinary hCG quantification every 48 hours more than 200 was significantly higher than the group B,the difference was statistically significant(P<0.01).The structure of normal pregnancy capsule in the uterus could not be displayed in the group C and the group D,but there was statistically significant difference in the growth rate of urinary hCG quantification every 48 hours(P<0.01). Conclusion:Transvaginal color Doppler ultrasound check the maximum diameter of the gestational sac through the inside and outside inspection,at the same time,combined with 48 h growth rate of urinary hCG quantification,can accurately determine the nature of vaginal bleeding in early pregnancy,can provide scientific basis for the clinical analysis of the nature of the disease, the development of treatment plan,evaluation of efficacy.
