剖宫产宫壁瘢痕缺损应用B超诊断的效果观察  

Diagnostic Effect of B Ultrasound in Previous Cesarean Scar Defect

作　　者：李赟 LI Yun(Zhongshan Torch Development Zone Hospital,Zhongshan 528437,China)

机构地区：[1]广东省中山火炬开发区医院,广东中山528437

出　　处：《中国医学创新》2018年第29期61-64,共4页Medical Innovation of China

摘　　要：目的:探讨应用B超诊断剖宫产宫壁瘢痕缺损(PCSD)的效果及临床价值。方法:选取2014年2月-2018年2月本院收治58例剖宫产产妇为研究对象,均进行B超检查,根据PCSD判断标准将其分为研究组(PCSD)、对照组(宫壁瘢痕完整)。比较两组B超检查相关参数、子宫位置,比较PCSD组不同剖宫产次数、子宫前后位置宫壁瘢痕缺损的相关参数。结果:本组行B超检查共检出39例PCSD,检出率为67.24%;两组子宫内膜厚度、优势卵泡直径、子宫长径、子宫前后径、子宫横径、瘢痕至宫颈内口距离比较,差异均无统计学意义(P>0.05);研究组子宫前位少于对照组,子宫后位多于对照组,比较差异有统计学意义(x^2=14.863,P=0.000);研究组不同剖宫产次数、子宫前后位置宫壁瘢痕缺损的相关参数比较,差异均无统计学意义(P>0.05)。结论:对PCSD产妇而言,B超检查是一种理想、可靠的临床诊断方式,具有较高检出率,可为疾病诊断、疗效评估、预后判断等方面提供有价值参考依据;子宫后位孕产妇发生PCSD的风险明显高于子宫前位者,是引起PCSD的一个主要危险因素。Objective:To explore the effect and clinical value of B ultrasound in diagnosis of previous cesarean scar defect(PCSD).Method:58 cases of cesarean section in our hospital from February 2014 to February 2018 were selected as the research subjects,B ultrasound examination was performed.According to PCSD criteria,they were divided into study group(PCSD)and control group(complete scar of uterine wall).The B ultrasound examination related parameters and uterine location of two groups were compared,the relative parameters of uterine wall scar defect were compared between different cesarean section times and position of uterus in PCSD group.Result:A total of 39 cases of PCSD were detected by B ultrasonography,and the detection rate was 67.24%.The endometrial thickness,dominant follicle diameter,uterine length,anterior and posterior uterine diameter,uterine transverse diameter,scar to cervical orifice distance in two groups were compared,the differences were not statistically significant(P>0.05).The anterior position of uterus in study group was less than that of control group,the posterior position of uterus was more than that of control group,the difference was statistically significant(χ2=14.863,P=0.000).The relative parameters of uterine wall scar defect between different cesarean section times and position of uterus in PCSD group were compared,the differences were not statistically significant(P>0.05).Conclusion:B ultrasonography is an ideal and reliable clinical diagnostic method for PCSD pregnant women,it has a high detection rate and can provide valuable reference for disease diagnosis,curative effect evaluation and prognosis judgment.The risk of PCSD in women with posterior uterus is significantly higher than that in women with anterior uterus,which is a major risk factor for PCSD.

关 键 词：剖宫产宫壁瘢痕缺损 B超 后位子宫 异常子宫出血 

分 类 号：R719.8[医药卫生—妇产科学]