剖宫产术后子宫切口坏死裂开出血的超声诊断  

Ultrasonographic diagnosis of hemorrhage from the necrotic and dehiscent uterine incision after Caesarean section.

作　　者：王健[1] 辛晓燕[1] 于月成[1] 郑维国[1] 李贵容[1] 

机构地区：[1]第四军医大学附属西京医院妇产科

出　　处：《中国实用妇科与产科杂志》1997年第4期223-224,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：剖宫产术后子宫切口坏死裂开出血属手术严重并发症，诊断有一定困难。采用Ｂ型超声技术，成功诊断１２例，并结合术后大体标本、病理检查，对切口声像图进行分析。同期观察２８６例剖宫产术后子宫切口声像图，总结出正常、异常子宫切口声像图特征，为该并发症的临床诊断。Objective:To evaluate the clinical use of ultrasonography in the diagnosis of late postpartum hemorrhage from the necrotic and dehiscent uterine incision after Caesarean section.Design:The uterine incisional wound in 12 patients with late postpartwm hemorrhage after Caesarean section were examined by ultrasonography,and 286 patients without hemorrhage after Caesarean section served as control.3 of the 12 patients were given conservative treatment and operations were performed upon the other patients and their uterine incisional wounds were found to be necrotic and dehiscent.These were validated by pathological sections.Results:The ultrasonogrnphic manifestations of the uterine incisional wound were classified.The necrotic and dehiscent incision showed myometrial interruption,liquefaction and/or localized mass formation.Conclusion:[WTBZ]Our study suggests that ultrasonography is a valuable aid in the differential diagnosis of late postpartum hemorrhage after Caesarean section. \ \

关 键 词：超声诊断 子宫出血 术后并发症 剖腹产 

分 类 号：R714.461[医药卫生—妇产科学]