超声微泡造影评估瘢痕子宫妊娠引产风险的价值研究

发布时间：2019-06-21 06:47

【摘要】：目的:探讨介入超声微泡造影检查在评估瘢痕子宫妊娠引产风险的价值,以便指导临床安全有效地引产。方法:采用回顾性病例对照研究方法,以我院2008年至2014年期间住院引产的瘢痕子宫孕妇70例为研究对象,根据不同检查方式分为介入超声微泡造影检查组(n=20)和普通超声检查组(n=50),比较两组检出子宫瘢痕缺损、前置胎盘、子宫切口妊娠情况及出现产后出血、子宫破裂、子宫切除的情况。结果:微泡造影检查组检出子宫切口妊娠5例,前置胎盘3例,子宫瘢痕缺损面积直径大于5 mm者4例;普通超声检查组仅查出前置胎盘患者4例,两种检查方式,对于子宫切口妊娠和子宫瘢痕缺损的检出率差异有统计学意义(P0.05)。对检出的高危孕妇,采取预防性措施后引产。微泡造影检查组产后出血1例;普通超声检查组产后出血4例、子宫破裂2例、子宫切除2例;微泡造影检查组产后并发症发生率小于普通超声检查组,但差异无统计学意义(5.0%vs14.0%,P0.05)。结论:介入超声微泡造影对子宫切口妊娠、子宫瘢痕缺损的评估价值优于普通超声检查,通过明确胎盘与瘢痕关系及瘢痕缺损面积,有助于指导临床安全有效地引产。
[Abstract]:Objective: to evaluate the value of interventional ultrasound microbubble angiography in evaluating the risk of induced labor in scar uterus, so as to guide the clinical induction of labor safely and effectively. Methods: a retrospective case-control study was conducted in 70 pregnant women with scar uterus induced labor in our hospital from 2008 to 2014. According to different examination methods, they were divided into two groups: interventional microbubble angiography group (n 鈮，

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