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目的:探讨孕早期超声检测卵黄囊的临床价值。方法:对2013年1月至2016年6月在我院超声科进行检查的131例早期妊娠孕妇进行妊娠囊与卵黄囊检测,并进行跟踪随访,评价卵黄囊与正常妊娠、先兆流产及难免流产间的关系。结果:正常妊娠95例,超声显示卵黄囊大小、形态正常;先兆流产31例,其中22显示卵黄囊形态、大小基本正常,经休息、保胎治疗后结局良好,9例结局不良,超声显示妊娠囊周围液性暗区,卵黄囊直径过大或过小;难免流产5例,超声显示卵黄囊消失、变形。结论:孕早期超声下卵黄囊检测,可以判断妊娠结局,对于先兆流产孕妇,可以用于指导临床治疗。
Objective: To investigate the clinical value of early detection of yolk sac in early pregnancy. Methods: 131 cases of pregnant women with early pregnancy who underwent ultrasound examination in our hospital from January 2013 to June 2016 were tested for gestational sac and yolk sac and follow-up was conducted to evaluate the relationship between yolk sac and normal pregnancy, threatened abortion and unavoidable abortion Relationship between. Results: There were 95 cases of normal pregnancy, the size and shape of yolk sac were observed by ultrasound, 31 cases of threatened abortion, of which 22 showed the shape of yolk sac. The size of yolk sac was basically normal. After rest, the outcome of miscarriage was good. Liquid dark area around the capsule, yolk sac diameter is too large or too small; inevitable abortion in 5 cases, the yolk sac disappeared by ultrasound, deformation. Conclusion: The detection of yolk sac under ultrasound in early pregnancy can determine the outcome of pregnancy. For pregnant women with threatened abortion, it can be used to guide clinical treatment.