超声检查在妊娠子宫破裂诊断中的价值探讨  

The value of ultrasound in the diagnosis of uterine rupture during pregnancy

作　　者：宋丹阳[1] 关云萍 白宇 

机构地区：[1]沈阳市妇婴医院超声科 [2]辽宁省沈阳市93321部队卫生院

出　　处：《中国实用妇科与产科杂志》2014年第3期214-216,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨超声检查在剖宫产术后再次妊娠发生完全性和不完全性子宫破裂诊断中的价值。方法回顾性分析沈阳市妇婴医院2005年1月至2012年12月经手术证实剖宫产术后再次妊娠发生子宫破裂的19例患者临床病例资料。结果子宫破裂患者19例,其中完全性子宫破裂10例,超声诊断子宫破裂9例,误诊1例,超声诊断符合率90%;不完全性子宫破裂9例,超声检查子宫前壁下段厚度(2.03±0.35)cm。结论超声检查是目前诊断完全性子宫破裂安全有效的检查方法;超声动态监测子宫下段瘢痕的厚度,对不完全性子宫破裂的诊断有一定的指导价值。Objective evaluate the value of Ultrasound in the diagnosis of the second pregnancy after cesarean section in which complete and incomplete hysterorrhexis happens. Methods Retrospectively analyzed 19 cases of patients, who suffered from the second pregnancy hysterorrhexis after cesarean section, with clinical data between January 2005 and December 2012 in our hospital. Results 19 patients with uterine rupture,including 10 cases of complete hysterorrhexis,of which 9 cases Ultrasound examinations gave hints of uterine rupture before operation, 1 case of misdiagnosis, ultrasound diagnosis coincidence rate 90% ;9 cases of incomplete hysterorrhexis ,in 9 cases of which Ultrasound examination showed that the thickness of the under section of the front wall of the uterus is （ 2. 03 ± 0. 35 ） cm. Conclusion Ultrasound examination is the most effective and safest inspection method in the diagnosis of uterine rupture, thickness of lower segment scar uterus ultrasound monitoring have important clinical value on incomplete hysterorrhexis.

关 键 词：子宫破裂 超声检查 

分 类 号：R714.46[医药卫生—妇产科学]