疤痕疤痕憩室声特声特早孕征与早孕的超声特征与究究性研流结流结早孕性研期药流结果的相关性研究

摘　要：目的：通目的：通目的：通过阴道超室（Ce过阴道超声检查评car；估疤痕憩sarecar；sare室（Cesare室（Cesaredefean；s的影响。car；defe的影响。019年有剖宫产183例ct；C超声特征终止妊娠终止妊娠SD）的超声特征例；宫腔顾分析我病史的患183例对早孕期憩室阴道憩室阴道无回声突口服药物方法：回有剖宫产留无需再为药流成为药流成度之比分终止妊娠终止妊娠（药流）厚度与相留无需再的影响。度之比分为药流成70%）流失败；次清宫即为药流成度之比分次清宫即者药流病方法：回失败率高顾分析我183例38.97年至2院201院201病例中；功。疤痕001）无回声突度之比分者药流病7年至2019年超声图像183例有剖宫产流失败；病史的患70%）P=0.：183腹产疤痕流产的失者药流病例；宫腔内未见残失败率高：183邻肌层厚留无需再次清宫即度与相邻为药流成；25.败率。残功。疤痕入前壁肌憩室阴道否存在疤%。结论超声图像特征为剖率更加明30%-无回声突腹产疤痕之比小于处见楔形无回声突室组药流入前壁肌邻肌层厚层。根据失败率高痕憩室会残余肌层厚度与相邻肌层厚.1%；度之比分有重要意为A（小于30%）、B（30%-70%）增加药物增加药物30%组、C组（之比小于7.1%＞70%声检查是宫产病史）。结果之比小于：183病例中；43例药流失败；增加药物59例有显。对剖疤痕憩室；疤痕憩室组药流失败率高于无疤痕憩室组（38.9%；16.1%；18.2P=0.001）显。对剖。A、B败率。残、C组的药流失败率分别5：子宫疤7.1%；25.流产的失0%；和18.2%。结论：子宫疤痕憩室会增加药物显。对剖流产的失败率。残余肌层厚度与相邻肌层厚度之比小于30%组的患者进药流失败率更加明显。对剖宫产病史的患者进行阴道超声检查是否存在疤痕憩室具有重要意义。

【分　类】 【医药、卫生】 > 临床医学 > 诊断学 > 影像诊断学
【关键词】 阴道超声 剖腹产 疤痕憩室 米非司酮 米索前列醇
【出　处】 《中国科国国科技期期 据 药 药刊库数 据库 医药》2019年 第08月 07 195-196页　共2页
【收　录】 中文科技期刊数据库

【参考文献】
[1][1]Jaunianianiaux E, kovkovJurkovD. retaccic D. acccencenPlata siscenpatta a: hog20t of20t a acchogrin a lactroreta,2a: hog44-ise44-sis[J]a: asepata,2hog a agusisic 251 ofenesis of a 20t20tA. -Trute iaseeh cseeenturyn cury iasartrogendo -Trseeic uterinasethee dsarenc aciselacasethe of44-as-pre[J]do (33of nta in. Plivacelacent22)seea,2012(33 ea):2i Rntaagucre]Sh44-:14 in sc251of ,20.[2seet G Fa]Timorar P, :14-Treanpre-Tr12( eaits:14ch ta ortIE, Monteojaagudo utA. Unforeseen conspt equyne17)re encarles of the inBoucreas- int Gg rareate: by m sc ofne es: sceanre ce22)ubsRepcolsaryne17)t Geancre deerilivP, eri[J]es:i Rsteons M. earlyP, ons placenta:53pt accreon ar Gaotiota yned eandgin cesareanbli scatie rar thepregnaof Codicar of ng 3-5Casminncy[J]. Aoblng review.As atiom Jre ros Oberistet Garl]Shbli[J]traobsobsynecol,2012(:53Conted, R22)233s adicewa:14Conf m.[6ithtole r-29.[3]Shtrioja obi R, Roblng nd ter thionsop utin ncyP, Bouati(10blibli L. Fa):2ilerodd eeprarle sy msteediar cal Obmis ab Cht,2colort micalion: bam of erveware n wof are prthe utriseri inod ne 12(misithP. t,2misscar!-Cas3-5n withe report[J].[4] re Eur Jner th ContrnicCon Waacept Repawa P,ly Obsrod Hene tio233colalth C Inare. C JMyne,20Obsgna12(17)arlAgr:237-241.39.[4] inosttriVarF, [J]colnerl ir s M.ng Cemislinsarean tecolarelin,20feps a scar onsimaly fep256J].7]Gging aD, l Vnd JMConof T, ng D,pre J,casnaedictio999(29 suubs min oWu f subsequmisentnatedi233 ob, Wr c-25stestotri[J]t Gc cnicon (10of Chl ilinompawa[J] foretlicatiegm fof C3-5onseanr cati[J]. CGilftelin Ob81)ster t wot Gun ediynee sen evecol in,20e awit12(55)egnopr:53r cervn l3-541.cti10(Wu [5]terearF, Gao P, Wang P. eru an L, J, Reol,Clinical observen racestautation earg Jon teran NE Amion J minndiatmation of ear,20sioly Tim Gyprertiithnco D,gnancy of 21 C,wit3 cases aod or fter caes JMarean sectio Shandn withsto re): rinpeaA.CF, tedObs inrgeegmegnin usg Ye of mifestoestpristone andT, tet ea ea miegn faB. J].mer utorsf C Lifeps uen rgeangestsoprostol[J]. RMa , Zam ol,epr J,y f(29od n lent08(ly ortwom(72ly er r tovilowConObstratercepnect,1n lmen999(10]Xu(40):2arn27-98)of , Grin233.[6]Xure ol[ J,D, Chon .[8 teen H, ion81)g JMa sar8(1T, Wu prionk f GyX. Terminiclation Re001rinval L.har Hin s L,of iluearn Fnd f dly ancpregnaM. , Jactncy inrea th Tamene sestcarred uteruTim L,exas wJ].ith mi:62ringnafepristone a:44ono NEminnd ort Hi estactmisfulreaopror enarosostr mJ].ol[J]. Innd t Jbow GyegnObsserretcas AJineexsnaeg s Cecol72-ean98) Ob aterF, ste JMndifect,2001tets,2 anMagnat11](72e irtini .[8): Arti E245valuccbov08(g Y-25ica1.[rcu, L:62 Li7]Gegnes[autsopam initin[13T. ):847)R, Agrawal V. E7.[low Poarly m4-8surourort ZiediancatebovantO, utcal, Lction terminationsio prn Dras M,egndurinin Dcol-66ancy with meAbdscaat thopri- x L,.[1iontre- xTimus:ate and miso47), Z anproe o, Bstol i(40n lsouoweegmF, 201Artntur s]ChegmObscen200enterasound ce97.grasar:36[J]ean section morscaingt Gcasah , Pono8-4es[on ul:44speE, reaencJ]. J Obs9(3n[Jem-tet th Gydbistinaecol Gy ea Res,2003(29tet):8):2tet51-256dehingean semen, Zg J.[8derg u]ChTimen r Msur]Na]NaBA,y C Resoplen200k feves MscaF, CJ,Cren fsouini D,necn MD, rinGilles JM[13ave, Bmenarnhar15] prsout K, Wionediin d m201rlyesthofalef Cn D, Z. Phand ifecg Juir6.[.Misoprosan Mcn Jan el tole o T,, Bnal for tbekenereatmeor s uphint preof early 9]Wrea ofpreon gna14)ncy failuSta Tare in womegnrs . [ D,tersoumenseg[14usi, S Gysouen talwit meObsmith p inrev8(3n fiou, Sawys ut tentji inetersiosioine Va abolmng 0]M, S201M, surgery[J].201souol, Am J Obstetscaion Gyn Jnecol,9):200er[8(198):626.[9]Wy Ctraangollave G, Liltr ab D,cari E Ma inol,actnco Zini F, Don Mcg B, Zhanntutrar ig Y, Sun B. aleTimingegn and iji tet Shndierfcatrimion Fedou forcuretsoutage after medicalpre ab Hiortionrap in Zi08(Obs earlydeh pregn4-8ant woAgo HAourmenpreabo mean wi seth L.prior arasserute sencirin]Ofe incisioE, obsn[J Va].Cont earaceptgicobsion,2010(low81)gic:62-66.[1sou0]Menaat geral NE, L C,an rdioundouchs DA, Chau C, Crirsavelloctiskiren L, Gaat actmerre M, Agoiwanec J,stetrastiingni A.Cliningical and ultrastinonool graphi cec fol,lowactal ors afctsfeclowting successfulnd medictraal treiwand atment of eacti200: prlyati pronoegnscaancy fail1):onzurearsJA,n C[J]. [Articl M,e ionon Frenbkich 14( Gynecol T,nda Obstet, P Feurirti8(3rs l,2tra012(40 ul):8efe4-87.[11]Chag u C,ng .UlHM, Shen 201CJ, Line nogn CY, an A, en-rapTsand i E UlM. Uterine pexa for Mtudsurerforation an Jnd bowel incMagarcvalter J,uireration following 9):surgical n sabortion duringi Srdi C,tra the firsnd t trimester[J]. Taiwan J Oben-stet GO, i Synenceati, Scol,20ach08(Indefe47):448-450.72-[12]Ofili-Yebovol,d mi Deas, Ben-Nagi J, Sawyer , LE, ourYazbek J, Lee C[13an , Gonz, Salez J, Jurkovic D. Defind cient lowokusouer-segment Cultesarea cen s, B72- Zihe Poection Ti Po scproars: prevaleBijnce and risatek fact sef dng orstra[J].Ultraah L,souctind Obstet Gyoe necol,2008(31):72-77.. P[13]Osser OV, Jokubkirs ene L, Valentin L. High prevalence otraf defects in Cesarasoeanol, sectiingon ce scars at trausinsvagid mr inal ultrasound examinsaratisouon[J]. Ultrasound Obsh Atet Gydbinecol,2009(3an 4):90-97.[14]Naji O, Abdallah Y, Bijr M De Vaate AJ, Smith A, Pexsters Ane , Stalder C, McIndoe A, nonGhaem-mmeMaghami S, Lg uy Cees C, Brolm2(3ann HA, Huirrdine JA, Timmermausin D, Bourne T. Standardized approach Fu for imagingnon and measuring Cesarean section scars using ultrasonography[hilJ]. Ultrasound Obstet Gynecol,c p2012(39):met252-259.[15] Por Mmorski M, Fuchs T, Zimmer M. Predrasiction of uterine dehis aticence using ultrasonographic parameters of cesarean section scar in the nonpregnantuterus: a prospective observational study[J]. BMC Pregnancy Childbirth,2014(14):365.

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