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目的彩超对宫内药物流产后宫内残流物的声像图特征的分析,方法超声对72例药物流产(胚胎已排出)2周后仍出血及反复出血时间2~4周的患者,进行彩超图像回顾性分析,结果药物流产后,子宫正常大小正常或稍大,子宫肌层回声分布均匀,宫腔残留物为二维显示宫腔回声紊乱,CDFI示部分显示为星点状、稀星点状不规则血流彩色信号,或近宫腔处局部肌壁呈血流丰富区并测至滋养层血流频谱,结论彩超对药物流产后子宫腔内是否有胚胎残留,以及残留组织的部位、大小及彩色血流情况,进行分析,为临床选择合理的处理方式提供客观依据。
Objective To analyze the ultrasonographic features of intrauterine etiology after intrauterine abortion. Methods 72 cases of medical abortion (embryo excreted) after 2 weeks of hemorrhage and repeated bleeding for 2 to 4 weeks were performed Color Doppler ultrasound image retrospectively analyzed, the results of medical abortion, the normal size of the normal uterus or slightly larger, uterine muscular echo uniform distribution of uterine cavity for the two-dimensional display of uterine echocardiography, CDFI showed part of the star-like, sparse star Point irregular blood flow color signal, or near the uterine cavity at the local muscle-rich area and measured trophoblast blood flow spectrum, Conclusion ultrasound abortion after medical abortion uterine cavity whether there are embryos, and residual tissue sites , Size and color of blood flow, analysis, clinical treatment for the rational choice to provide an objective basis.