目的：比较超声经腹和经阴道诊断瘢痕妊娠的临床效果。方法选择2008年1月~2012年12月在我院收治的98例经病理确诊为瘢痕妊娠的患者，设高频彩超经阴道检查50例为研究组，彩超经腹部检查48例为对照组.比较两组检测的结果以及子宫组织及血流变化。并进行统计学分析。结果与对照组诊断准确率77.1%比较，研究组诊断准确率94.0%明显增高，差异显著，有统计学意义(P<0.05)。与对照组子宫组织及血流变化检出率比较(75.0%)，研究组子宫组织及血流变化检出率(100.0%)，差异显著，有统计学意义(P<0.05)。结论经阴道高频彩超诊断瘢痕妊娠符合率高，无创、经济、便捷。能为瘢痕妊娠的诊治提供科学的依据。是目前诊断瘢痕妊娠的金标准。

目的：分析产后出血患者的临床救治与防治方法。方法在2010年2月至2013年2月期间，我院产科分娩中产后出血患者92例，回顾分析92例产后出血患者的临床救治资料。结果患者产后出血的原因主要是子宫收缩较乏力，除此之外，还有软产道损伤与胎盘等因素造成的，全部患者经及时补充血容量与改善其微循环等救治措施，患者预后良好，没有1例死亡，患者的出血状况均得到控制。结论加强产妇的自我保健意识，增强围生期的保健工作，及早筛查出高危因素，针对产后的出血原因，给予积极预防与治疗，可有效减少产后出血的发生率与孕产妇的病死率，提高产科的质量。

Objective To study the pregnancy was discussed in the diagnostic criteria for to study the diagnos-tic standard of metabolic syndrome and to analyze the risk factors caused by GMS .Methods In the city′s major ob-stetric gynecological hospital regularly checked and selected hospital delivery 154 cases of singleton pregnancies ,pre-eclampsia as preeclampsia ,gestational diabetes ,310 cases of pregnant women ,as gestational diabetes group ,while se-lecting 500 healthy pregnant women as a control group .Record each group maternal age ,gestational age ,blood pres-sure ,body weight before pregnancy ,pre-pregnancy body mass index ,to detect the group of pregnant women fasting glucose ,insulin ,and total cholesterol ,triglycerides ,HDL ,LDL and free fatty acids the content analysis of the test re-sults .Results (1) pre-eclipse and gestational diabetes group maternal age ,gestational age ,blood pressure ,body mass index before pregnancy were compared with the control group ,the difference was statistically significant (P<0 .05) , (2) pre-eclipse group and a group of pregnant women with gestational diabetes indicators were above the control group ,the difference was statistically significant (P< 0 .05) ,(3) preeclampsia and gestational diabetes mellitus in pregnant women significantly increased the risk of GMS (P<0 .05) .Conclusion Preeclampsia and gestational diabe-tes mellitus risk factors are pre-pregnancy body mass index and total cholesterol ,while both groups showed high den-sity lipoprotein and incidence of metabolic syndrome was not significantly associated .

目的 探讨超声结合宫腔造影对宫腔粘连的诊断价值.方法 对176例经超声结合宫腔造影诊断为宫腔粘连患者行宫腔镜检查,分析超声结合宫腔造影诊断宫腔粘连的符合率及超声及宫腔造影的声像图资料.结果 超声联合宫腔造影诊断宫腔粘连176例,经宫腔镜检证实为宫腔粘连的158例,诊断符合率为89.8%;超声联合宫腔造影诊断宫腔粘连有特异性声像图表现.结论 超声联合宫腔造影可作为临床筛查宫腔粘连的首选方法.

目的探讨高频超声多普勒对乳腺导管扩张症的诊断和鉴别诊断。方法回顾性分析37例经病理证实的乳腺导管扩张症的超声声像图表现。结果乳腺导管扩张症声像图表现大体分三型:低回声包块型、囊实性包块型、囊性导管扩展型,病灶多位于乳晕区及乳头深面,内部血流可见点状血流信号。结论高频超声多普勒检查对乳腺导管扩张症具有较高的诊断价值,但需与乳腺囊性增生病及乳腺癌等乳腺疾病鉴别。