彩超用于剖宫产子宫切口瘢痕愈合不良的临床诊断价值  

The clinical diagnostic value of color ultrasonography in the treatment of scar healing in caesarean section

作　　者：李丹[1] 徐景俊[1] 秦丽微[1] 郑佳锐 宋猛 王薇[1] LI Dan;XU Jing-jun;QIN Li-wei;ZHENG Jia-rui;SONG Meng;WANG Wei(the First Affiliated Hospital of Jiamusi University, Jiamusi 154003, China)

机构地区：[1]佳木斯大学附属第一医院,黑龙江佳木斯154003

出　　处：《海南医学院学报》2018年第5期651-653,共3页Journal of Hainan Medical University

基　　金：佳木斯大学科研项目(JKA2014-017)~~

摘　　要：目的:探究彩超用于剖宫产子宫切口瘢痕愈合不良的临床诊断价值。〗方法:选择在本院进行剖宫产的106例产妇术后子宫切口瘢痕部位进行检查诊断,其中切口瘢痕愈合不良产妇53例为试验组,另外53例产妇切口愈合较好为对照组,所有剖宫产产妇均采用经阴、经腹的彩色多普勒超声进行联合检查,观察其检查诊断的图像特征以及准确性。结果:经检查后,试验组产妇切口瘢痕部位与宫颈内口距离较对照组更接近,且试验组后位子宫所占比例远高于对照组(P<0.05)。同时对两组产妇经彩超检查后显示子宫大小、子宫内膜厚度以及卵泡直径等指标无明显差异(P>0.05)。结论:针对剖宫产产妇术后子宫切口瘢痕部位愈合不良情况给予阴道及腹部彩色多普勒超声联合检查,检出准确率较高,对临床治疗具有一定的指导作用,可在临床上推广应用。Objective：To explore the clinical diagnostic value of color Doppler ultrasound in cesarean section scar healing.Methods：the study time：From December 2016 to November 2017 in our hospital 106 cases of cesarean section after cesarean uterine scar diagnosis,Among them,53 cases were treated as test group,and 53 cases of wound healing were better in the control group,All cesarean parturients were examined by color Doppler ultrasound through the transvaginal and transabdominal.The image features and accuracy of the diagnosis were observed.Results：after examination,the distance between the scar site and the internal cervical of the test group was closer than that of the control group,and the proportion of the posterior uterus in the test group was much higher than that in the control group,P〈0.05.At the same time,there was no significant difference in the size of uterus,endometrial thickness,and follicular diameter between the two groups of parturients after the color ultrasound examination,P〉0.05.Conclusion：for the poor healing uterus incision scar parts after cesarean section.The combination of vaginal and abdominal color Doppler ultrasonography has high accuracy and has a certain guiding role in clinical treatment.It can be widely applied in clinic.

关 键 词：彩超 剖宫产 子宫切口 瘢痕 

分 类 号：R719.82[医药卫生—妇产科学]