Transvaginal Sonography and the Conservative Management of Spontaneous Abortion
作者:
C.J. Haines,
T. Chung,
D.Y.L. Leung,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1994)
卷期:
Volume 37,
issue 1
页码: 14-17
ISSN:0378-7346
年代: 1994
DOI:10.1159/000292512
出版商: S. Karger AG
关键词: Transvaginal sonography;Early pregnancy;Abortion;Uterine cavity
数据来源: Karger
摘要:
Once a diagnosis of early pregnancy failure has been made, it is normal gynaecological practice to proceed to evacuation of any retained products of conception. In many cases, however, there may be little residual tissue within the uterus, and the patient may be exposed to an unnecessary operative procedure. The purpose of this study was to use sonographically derived measurements of the uterine cavity to select cases suitable for conservative management. Of 50 women presenting with a diagnosis of spontaneous abortion, 32 were chosen for non-operative treatment based upon their uterine cavity measurements. In all of these cases, bleeding had ceased within 2 weeks of selection and the pregnancy test had become negative. There were no subsequent complications. In our opinion, sonographic examination of the uterus allows the selection of those cases which can safely be managed conservatively.
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