How much is luteal hematoma treated?

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If the patient feels unwell, he * ll have to go to the hospital immediately for diagnosis and treatment. The follicle layer ruptures, causes bleeding, and more blood stays in the follicles or corpus luteum. Today, let me learn how much is the treatment of luteal hematoma?.

How much is luteal hematoma treated?

First, the treatment of luteal hematoma depends on the patient's condition. The blood flow around the corpus luteum of pregnancy is very rich, with low resistance, thick wall and high echo. Sometimes it looks like the mass of ectopic pregnancy, but the corpus luteum is in the ovary, sometimes a little protruding, but it can be identified by pressing the abdomen. It is easy to misdiagnose ectopic pregnancy and corpus luteum by looking at whether the blood flow is rich or not, If transabdominal ultrasound is difficult to distinguish the appearance of ectopic pregnancy corpus luteum.

Second: the difference between solid ovarian tumor and luteal hematoma: luteal hematoma is complicated and changeable because of its different bleeding volume and time, especially the large early hemorrhagic corpus luteum, which is easy to be misdiagnosed as solid ovarian tumor. When misdiagnosed as solid ovarian tumor, it is difficult to differentiate luteal rupture from ectopic pregnancy on sonogram, but it can be differentiated according to menstrual cycle and urine HCG. In the early stage of bleeding, the ovarian cysts were round, with thick capsule and rough inner wall. Most of the cysts were disordered, heterogeneous, hypoechoic or thin reticular or thick reticular structure. Luteal hematoma at this stage is easy to be misdiagnosed as ovarian solid tumor.

Third: it can be distinguished according to menstrual cycle and blood flow distribution. The color Doppler ultrasound manifestations of corpus luteum hematoma have their own characteristics. There is a circle or half circle of blood flow signal around the corpus luteum, which is easy to record the blood flow spectrum. The blood flow velocity in the early stage of corpus luteum is high, up to 20 ~ 20cm / s. RI can also instruct the patient to review in a short time. If there is continuous bleeding, the mass can be enlarged first. The sonogram shows a coarse network structure, which means more bleeding and blood clots. After the luteal blood is absorbed in the late stage, the cyst becomes smaller, usually 25-30mm in diameter, which is difficult to distinguish from ovarian cyst at this time. In some cases, due to the decrease of luteinizing hormone, corpus luteum atrophy, increased intraluminal fibrous tissue, the corpus luteum hematoma turned into white body, the boundary of the corpus luteum hematoma became unclear, the internal echo was solid and slightly hyperechoic, and disappeared after the next menstruation.

matters needing attention

To sum up, the ultrasonographic manifestations of luteal hematoma are complicated and changeable due to different bleeding and organization process, but there are still some rules to follow. The key to its diagnosis is to fully understand the characteristics of luteal hematoma, and review in a short time. If the ultrasonographic changes support the diagnosis of luteal hematoma. Ultrasound, a cheap and noninvasive method, can be used for repeated examination and dynamic observation to reduce the misdiagnosis rate.