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目的探讨超声监测在药物流产术前早孕诊断及术后宫腔改变的临床价值。方法对停经40 d以上300例早孕者及200例药物流产术后病例进行超声检查及结果分析。结果 300例临床诊断早孕患者中,超声诊断宫内早孕298例,其中异位妊娠2例,1例宫内早孕合并宫内节育器,诊断符合率99.3%。药物流产术后200例行超声检查,193例药物流产成功,1例流产失败,6例流产不全。结论超声检查为药物流产术前宫内早孕诊断的必须检查及首选检查方法,同时对药物流产术后患者的跟踪超声检查也十分重要。
Objective To investigate the clinical value of ultrasonic monitoring in the diagnosis of abortion and uterine cavity changes before operation. Methods 300 cases of early pregnancy after menopause 40 days and 200 cases of medical abortion after the ultrasound examination and analysis of the results. Results Among the 300 clinically diagnosed cases of early pregnancy, 298 cases of intrauterine pregnancy were diagnosed by ultrasonography, including 2 cases of ectopic pregnancy and 1 case of intrauterine pregnancy combined with IUD. The coincidence rate was 99.3%. 200 cases of medical abortion after ultrasound examination, 193 cases of medical abortion success, 1 case of abortion failed, 6 cases of abortion. Conclusions Ultrasound examination is the necessary examination and the preferred examination method for the diagnosis of intrauterine pregnancy before medical abortion, and it is also very important for the follow-up ultrasonography of patients after medical abortion.