CAJ | 학술논문

目的通过比照有早期阴道流血史的孕妇的彩超表现与临床流产的类型，来为早期妊娠流产诊断提供一个彩超的判断依据。方法通过选取分析2012年01月至2012年06月在我院进行彩超的孕妇140人，其中有早期妊娠流血的孕妇70例作为研究组，正常早孕妇女70例作为对照组，运用彩超对140例早孕期妇女进行腹部检查孕囊情况、胎心搏动、子宫胎盘床血流阻力指数和卵巢黄体血流指数变化等，研究他们早期的彩超表现和对应的临床流产类型，并伴随回访，从而得出一些基本的判断早期妊娠流产类型的依据。结果对照组的70例胚胎成活正常，研究组中21例正常妊娠流血，18例先兆流产，17例难免流产，12例过期流产，8例异位妊娠，1例葡萄胎，经过回访统计，诊断结果与预后情况基本相符，无显著差异，p<0.05。结论通过彩超观察子宫内孕囊的性状、位置、胎心搏动等，可以对早期妊娠流产做出早期判断，为临床上采取进一步处理措施提供有力的依据。
목적통과비조유조기음도류혈사적잉부적채초표현여림상유산적류형，래위조기임신유산진단제공일개채초적판단의거。방법통과선취분석2012년01월지2012년06월재아원진행채초적잉부140인，기중유조기임신류혈적잉부70례작위연구조，정상조잉부녀70례작위대조조，운용채초대140례조잉기부녀진행복부검사잉낭정황、태심박동、자궁태반상혈류조력지수화란소황체혈류지수변화등，연구타문조기적채초표현화대응적림상유산류형，병반수회방，종이득출일사기본적판단조기임신유산류형적의거。결과대조조적70례배태성활정상，연구조중21례정상임신류혈，18례선조유산，17례난면유산，12례과기유산，8례이위임신，1례포도태，경과회방통계，진단결과여예후정황기본상부，무현저차이，p<0.05。결론통과채초관찰자궁내잉낭적성상、위치、태심박동등，가이대조기임신유산주출조기판단，위림상상채취진일보처리조시제공유력적의거。
the types and clinical abortion color Doppler ultrasound contrast early vaginal bleeding history in pregnant women, to provide the basis for judging a color Doppler ultrasound for the diagnosis of early pregnancy. Methods: by selecting the analysis of our hospital in 140 pregnant women by color Doppler ultrasound in 2012 01 to 2012 06 months, including early pregnancy bleeding 70 cases of pregnant women as the study group, 70 cases of normal pregnant women as control group, using color Doppler ultrasound to examine the abdomen of gestational sac, fetal heart beat, uterine and placental bed artery resistance index and ovarian luteal blood flow index changes of 140 cases of early pregnancy women, of their early color Doppler ultrasound and the corresponding clinical types of abortion, and along with visit, thus obtains some types of abortion of early pregnancy in basic judgment basis. Results: in the control group, 70 cases of normal embryonic survival in the study group, 21 cases of normal pregnancy bleeding, 18 cases of threatened abortion, 17 cases of abortion, 12 cases of missed abortion, ectopic pregnancy in 8 cases, 1 cases of hydatidiform mole, after a return visit statistics, diagnosis and prognosis of the basic line, no significant difference, p<0.05. Conclusion: by color Doppler ultrasound to observe the intrauterine gestational sac character, position, fetal heart beat and so on, can make the early diagnosis of abortion in early pregnancy, for the clinical use of provide a strong basis for the further processing measures.