Jörgensen C, Skjaerris J, Sundén B, Aberg A
Acta Obstet Gynecol Scand. 1980;59(3):233-5. doi: 10.3109/00016348009155402.
200 women threatened with abortion during the first 16 weeks of pregnancy were examined with diagnostic ultrasound to determine whether there were signs of intrauterine life. Of the 90 who showed positive signs, 8 aborted spontaneously later, the other 82 continued their pregnancy. The ultrasound investigation revealed no signs of intrauterine life in 110 patients. Of these, spontaneous abortion or later evacuation because of missed abortion 101 (histopathological examination showed degenerated villi in 98), not pregnant 4, mola hydatidosa 3, extrauterine pregnancies 2. An ultrasound examination was performed to ascertain whether 136 women with suspected ectopic pregnancy had intrauterine pregnancies. 61 of them had an intrauterine gestational sac, confirmed at clinical follow-up. One of the 61 was operated on with laparoscopy because of pain; no abnormalities were found. In 36 of the other 75, laparoscopy was performed. Ectopic pregnancy 21, ovarian or parovarian cyst 11, adhesions 2, salpingitis 1, and normal 1. Diagnostic ultrasound is excellent for accurate prognosis in threatened abortion. Unnecessary operations avoided; hospitalization in suspected ectopic pregnancies reduced.
对200名在妊娠前16周有流产风险的女性进行了诊断性超声检查，以确定是否存在宫内妊娠迹象。在90名显示阳性迹象的女性中，有8名后来自然流产，另外82名继续妊娠。超声检查显示110名患者无宫内妊娠迹象。其中，101名自然流产或因稽留流产而清宫（98名组织病理学检查显示绒毛退变），4名未怀孕，3名葡萄胎，2名宫外孕。对136名疑似宫外孕的女性进行超声检查，以确定是否有宫内妊娠。其中61名有宫内妊娠囊，临床随访证实。61名中的1名因疼痛接受了腹腔镜手术；未发现异常。另外75名中的36名进行了腹腔镜检查。宫外孕21例，卵巢或卵巢旁囊肿11例，粘连2例，输卵管炎1例，正常1例。诊断性超声对于先兆流产的准确预后非常出色。避免了不必要的手术；减少了疑似宫外孕患者的住院时间。
