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目的:探讨经阴道彩超对宫腔残留诊断在临床工作中的应用价值。方法:回顾性分析57例流产后阴道出血超过2周、经阴道彩超检查发现宫腔异常回声团块患者资料,并与术后病理结果(绒毛组织、变性绒毛组织和蜕膜组织三组)进行对照分析。结果:经阴道彩超对宫腔残留诊断符合率100%(57/57),绒毛组织33例表现为不均质低回声,内部及相邻肌层血流信号丰富,变性绒毛组织14例表现为不均质高低混合回声,内部血流信号少,相邻肌层血流丰富,蜕膜组织10例表现不均质高回声,内部及相邻肌层少量血流信号或无血流信号。结论:经阴道彩超对宫腔残留有较高的诊断价值,能为临床医生制定治疗方案提供帮助。
Objective: To investigate the clinical value of transvaginal color Doppler ultrasonography in the diagnosis of uterine cavity. Methods: Fifty-seven cases of post-abortion vaginal bleeding for more than 2 weeks were retrospectively analyzed. The data of patients with abnormal uterine cavity echoes were detected by vaginal color Doppler ultrasonography. The results were compared with postoperative pathological findings (villi, degenerative villi and decidua) Control analysis. Results: The coincidence rate of transvaginal color Doppler ultrasonography in the diagnosis of uterine cavity was 100% (57/57). In villus tissue, 33 cases showed heterogeneous hypoechoic echo and the blood flow signals in internal and adjacent muscular layer were abundant. Inhomogeneous high and low mixed echo, less internal blood flow signal, rich blood flow in adjacent muscular layer, inhomogeneous hypoechoic in 10 cases of decidua, small amount of blood flow signal or no blood flow signal in internal and adjacent muscular layer. Conclusion: Transvaginal color Doppler ultrasonography has high diagnostic value for uterine cavity residue, which can help clinicians formulate treatment plans.