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药物流产已在临床上得到广泛应用。优点是方便、安全,效果显著。但并非绝对安全。最常见的副作用是出血时间长,出血多及少数不完全流产。 我院对1997年11月至1999年12月在门诊实行药物流产后15～30天还有阴道出血淋漓不尽,下腹坠痛患者行B超检查,发现盆腔炎性包块者45例。此45例患者在药物流产前均在我院行B超检查,除宫内妊娠外,盆腔检查未见异常的妇女。年龄18～38岁,平均28岁。停经时间38～49天,流产后平均阴道出血时间23天,B超检查结果:盆腔包块平均大小40×40mm,位于子宫两侧32例,位于子宫直肠窝者13例,包块特点,(1)囊性,边界清,壁厚,毛糙,包块内少量点状强回声;(2)实囊性:边界不清,未见完整包膜,内部呈混合性回声;(3)实质性:包块形态不规则,边界不清,内部呈实质低回声。
Medical abortion has been widely used in clinical practice. The advantage is convenient, safe, the effect is remarkable. But not absolutely safe. The most common side effects are bleeding for a long time, bleeding and a few incomplete abortion. Our hospital from November 1997 to December 1999 in the clinic after the medical abortion 15 to 30 days there are vaginal bleeding dripping abdominal pain patients underwent B-ultrasound and found pelvic inflammatory mass in 45 cases. The 45 patients before the medical abortion in our hospital B-ultrasound, in addition to intrauterine pregnancy, pelvic examination showed no abnormalities in women. Aged 18 to 38 years old, average 28 years old. Menstrual time 38 to 49 days, the average vaginal bleeding after abortion 23 days, B-ultrasound results: the average pelvic mass size 40 × 40mm, located on both sides of the uterus in 32 cases, located in the uterus rectum in 13 cases, mass features, ( 1) cystic, clear boundary, wall thickness, rough, a small amount of punctate echogenic mass within the mass; (2) solid cystic: unclear boundary, no complete envelope, internal mixed echo; (3) : Mass irregular shape, the boundary is unclear, the internal was low echo.