Condous G, Okaro E, Bourne T
Early Pregnancy, Gynaecological Ultrasound and Minimal Access Surgery Unit, St George's Hospital Medical School, London, UK.
Ultrasound Obstet Gynecol. 2003 Oct;22(4):420-30. doi: 10.1002/uog.236.
Early pregnancy complications include miscarriage, ectopic pregnancies, adnexal masses and pregnancies of unknown location. In this review, we evaluate the role of conservative management in these complications. We also evaluate the role of transvaginal sonography for diagnosis, treatment and follow up. When managing women with early pregnancy complications, it is important to recognise the normal sonographic milestones in the first trimester. Understanding the pattern of serum human chorionic gonadotropin change in early normal pregnancy and the correlation between low serum progesterone levels and the spontaneous resolution of a pregnancy are also important concepts. Guidelines for assessing suitability for conservative management should be strictly governed by evidence based protocols. Women can then be offered expectant or medical treatment as appropriate.
早期妊娠并发症包括流产、异位妊娠、附件包块及妊娠部位不明。在本综述中，我们评估保守治疗在这些并发症中的作用。我们还评估经阴道超声检查在诊断、治疗及随访中的作用。在处理有早期妊娠并发症的女性时，认识早孕期正常的超声检查里程碑很重要。了解正常早期妊娠血清人绒毛膜促性腺激素变化模式以及低血清孕酮水平与妊娠自然转归之间的相关性也是重要的概念。评估保守治疗适用性的指南应严格遵循循证方案。然后可根据情况为女性提供期待治疗或药物治疗。
