超声在剖宫产术后子宫与前腹壁粘连中的诊断价值  

Diagnostic value of ultrasound in uterine adhesion with abdominal wall after caesarian section

作　　者：祝莉[1] 苏光明[1] 高海港[1] 董晓明[1] 张鑫雅[1] 

机构地区：[1]解放军第477医院特理科,湖北襄阳441003

出　　处：《临床军医杂志》2011年第4期772-773,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨剖宫产术后子宫与前腹壁粘连的彩色多普勒超声声像图特征及其应用价值。方法对165例子宫与腹壁粘连患者(其中27例经手术证实)进行回顾性分析,探讨其声像图特点。结果165例声像图特征为:(1)膀胱充盈时子宫位置明显高于正常,宫底最高者位于脐下1 cm,子宫宫底前壁局部紧贴前腹壁。(2)所有病例宫颈均明显长于正常,最长可达6 cm。(3)嘱患者深呼吸时,宫体与前腹壁未见相对移动,深吸气后憋气时,因牵拉致宫底和宫体之间形成明显的角度。(4)膀胱排空前后,子宫宫底与前腹壁相对位置无明显变化。结论 超声在诊断剖宫产术后子宫与前腹壁粘连方面有较高的诊断价值,可作为首选检查方法。Objective To evaluate the ultrasonographic features of color doppler ultrasound and the diagnostic value in uterine adhesion with abdominal wall after caesarian section.Methods 165 cases of uterine adhesion with abdominal wall were analyzed retrospectively（27 cases confirmed by surgery）,the ultrasonographic features were explored.Results Ultrasonographic features of 165 cases were：（1）The location of uterus were raised abnormally when bladder filled,the highest location of the fundus of uterus is situated below the umbilicus 1cm,and uterus anterior wall together tightly with Anterior abdominal wall.（2） All cases cervixes were lengthened abnormally in all cases,the longest is 6 cm.（3） The bodies of uterus did not moved relatively by anterior abdominal wall when deep breathing,the fundus and the bodies of uterus formed angle because of dragged after deep inspiration.（4） Relative position of the fundus of uterus and the anterior abdominal wall did not obvious changed when bladder evacuated.Conclusion Ultrasound has important value in diagnosis of uterine adhesion with abdominal wall in patients with caesarian section,and there was the primary method to check it.

关 键 词：子宫 腹壁 超声 粘连 

分 类 号：R445.1[医药卫生—影像医学与核医学]