探讨应用B超诊断剖宫产宫壁瘢痕缺损的临床效果  

To investigate the clinical effect of B-ultrasonography in diagnosis of uterine wall scar defect in cesarean section

作　　者：吴海燕 陈芳[1] Wu Haiyan;Chen Fang(Department of Ultrasound,Yancheng Maternal and Child Health Hospital Affiliated to Yangzhou University School of Medicine(Yancheng Maternal and Child Health Hospital),Yancheng 224000,China)

机构地区：[1]扬州大学医学院附属盐城妇幼保健院(盐城市妇幼保健院)超声科,江苏盐城224000

出　　处：《实用妇科内分泌电子杂志》2024年第17期107-109,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨B超诊断剖宫产宫壁瘢痕缺损(PCSD)的价值。方法选取42例PCSD患者作为观察组,另选取剖宫产宫壁瘢痕完整患者50例作为对照组,具有完整的B超诊断信息。比较两组子宫内膜厚度、子宫位置、子宫大小、瘢痕位置;比较观察组不同子宫位置、不同剖宫产次数患者的宫壁瘢痕缺损情况。结果两组子宫内膜厚度、子宫的长径、横径、前后径比较,差异无统计学意义(P>0.05);观察组瘢痕至宫颈内口距离明显低于对照组(P<0.05)。观察组子宫位置以后位69.05%为主,对照组以前位64.00%为主(P<0.05)。观察组不同子宫位置、剖宫次数的宫壁瘢痕缺损的深度、宽度和残存肌层厚度均比较,差异无统计学意义(P>0.05)。结论剖宫产后采取B超检查具有无创、操作简单的优势,可清晰显示PCSD的声像图特征。Objective To investigate the value of B-mode ultrasonography in diagnosis of uterine wall scar defect(PCSD)in cesarean section.Methods 42 patients with PCSD were selected as the observation group,and 50 patients with complete uterine wall scar were selected as the control group,with complete B-ultrasound diagnosis information.Endometrial thickness,uterine location,uterine size,and scar location were compared between the two groups.The uterine wall scar defect was compared in the observation group with different uterine position and different cesarean section times.Results There were no significant differences in endometrial thickness,long diameter,transverse diameter and anteroposterior diameter between the two groups(P>0.05).The distance from scar to the inner cervix of the observation group was significantly lower than that of the control group(P<0.05).The posterior position of uterus was 69.05%in the observation group and 64.00%in the control group(P<0.05).There was no significant difference in the depth,width and thickness of residual muscle of uterine wall scar defect in the observation group with different uterine location and uterine dissection times(P>0.05).Conclusion Ultrasound examination after cesarean section display ultrasound characteristics of PCSD.

关 键 词：剖宫产宫壁瘢痕缺损 B超 子宫内膜厚度 子宫位置 

分 类 号：R445.1[医药卫生—影像医学与核医学] R719.8[医药卫生—诊断学]