Patient's question:
On April 25th, the first flow of people occurred. On May 7th, a follow-up ultrasound showed that there was still a gestational sac. On May 8th, the second surgery was performed. Today, on the 14th, a follow-up transvaginal ultrasound and HCG test were conducted. The HCG value was 1472.80 (positive +), with a reference range of less than 5.Transvaginal ultrasound results:
Uterus: Size approximately 5.64.35.0^3, regular shape, anterior tilt, homogeneous muscle layer echoes.
Uterine cavity: Single-layer endometrial thickness 0.17 cm, non-uniform echoes, with a small amount of liquid visible in the cavity, with a depth of 0.46 cm. The cavity also shows areas of high and anechoic echoes, with the anechoic area measuring 1.11.2 cm^2. No intrauterine device echoes were observed in the cavity.
Cervix: Size approximately 2.42.62.5 cm^3, cervical canal connection is complete, no significant abnormalities were noted.
Left ovary: Size approximately 2.61.5 cm^2, no abnormal morphology, clear internal structure.
Right ovary: Size approximately 2.81.6 cm^2, no abnormal morphology, clear internal structure. An area of low echo is observed, measuring 1.51.4 cm^2, with clear boundaries.
Pelvis: No effusion was observed.
Ultrasound diagnosis:
1. Small amount of fluid in the uterine cavity, non-uniform mass in the cavity (please correlate with clinical findings).
2. Low echo mass in the right ovary (recommended for regular follow-up).
3. No abnormalities in the left adnexal region.
Doctor's answer:
It is best to consider a conventional surgical procedure for miscarriage. Medical abortion is prone to incomplete miscarriage, which can lead to severe bleeding. Painless abortion can easily cause uterine perforation. It is preferable to undergo a hysteroscopic-guided dilatation and curettage, as there are no residual tissues post-surgery, thus preventing severe bleeding. This is the safest method for miscarriage.In fact, under normal circumstances, undergoing any form of induced abortion can pose certain risks to the patient. Therefore, patients should pay attention to self-care. For example, patients who have undergone induced abortion should follow a balanced diet, avoiding cold, spicy, and irritating foods.