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超声检查对输卵管妊娠内出血的估测

Estimation of internal hemorrhage in tubal pregnancy with ultrasonography

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【作者】 秦平陈焰马小卿钱敏谢争

【Author】 QIN Ping, CHEN Yan, MA Xiaoqing, et al. Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Beijing 100006China

【机构】 北京妇产医院超声波室北京妇产医院超声波室 100006100006

【摘要】 目的 探讨应用超声检查输卵管妊娠内出血引起的盆腹腔游离液性暗区测值与术中观测总出血量的相关关系及其临床意义。方法 对 2 0 1例输卵管妊娠患者在手术前 4h内 ,经B超检查测出的游离液性总暗区与术中总出血量进行相关性分析 ,并对比分析流产型与破裂型宫外孕内出血的差异。结果 随着盆腹腔内液性总暗区的增加 ,内出血量均值相应加大 ,出血量与超声显示液性暗区呈正相关关系 ,r=0 7712 ;输卵管妊娠流产型与破裂型液性总暗区在 0 1~ 10 0cm时 ,两组的总出血量差异有显著意义。结论 通过超声检查输卵管妊娠引起的内出血液性暗区 ,可估测内出血量 ,为临床治疗提供参考数据

【Abstract】 Objective To investigate the correlation between the free fluid area detected with ultrasonography and the internal hemorrhage volume observed during operation in tubal pregnancy. Methods The correlation between the size of free fluid area measured by ultrasound and the volume of internal hemorrhage collected during operation among 201 cases of tubal pregnancy was analyzed. The difference of internal hemorrhage between tubal abortion and tubal pregnant rupture was analyzed too. Results A positive correlation was observed between the size of free fluid area measured by ultrasound and the internal hemorrhage volume ( r =0.771 2). A statistically significant difference of internal hemorrhage volume was found between tubal abortion and tubal pregnant rupture with a free fluid area in the range of 0.1~10.0 cm. Conclusion The volume of internal hemorrhage caused by tubal pregnancy can be estimated according to the free fluid area detected with ultrasonography.

【关键词】 妊娠,输卵管超声检查出血
【Key words】 Pregnancy,tubalUltrasonographyHemorrhage
  • 【文献出处】 中华医学杂志 ,National Medical Journal of China , 编辑部邮箱 ,2001年16期
  • 【分类号】R445.1
  • 【被引频次】1
  • 【下载频次】42
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