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超声在诊断孕中期完全性子宫破裂中的价值
引用本文:马雪松,吴青青,王莉,杨丽曼,高凤云,李晓菲,玄英华,李巧. 超声在诊断孕中期完全性子宫破裂中的价值[J]. 中华医学超声杂志(电子版), 2020, 17(6): 509-513. DOI: 10.3877/cma.j.issn.1672-6448.2020.06.004
作者姓名:马雪松  吴青青  王莉  杨丽曼  高凤云  李晓菲  玄英华  李巧
作者单位:1. 100026 首都医科大学附属北京妇产医院超声科
摘    要:
目的探讨超声在诊断孕中期完全性子宫破裂中的价值。 方法选取2010年至2019年在首都医科大学附属北京妇产医院收治的经手术证实的8例孕中期完全性子宫破裂患者,对8例患者的术前超声声像图特点及临床资料进行回顾性分析。 结果8例病例均存在异常超声表现,且复杂多样。结合高危因素及临床表现,超声明确诊断子宫破裂2例、先兆子宫破裂1例,可疑子宫破裂4例,误诊胎盘早剥1例。 结论超声是诊断孕中期完全性子宫破裂的重要方法,可为临床诊断提供依据和参考。

关 键 词:超声检查  妊娠中期  子宫破裂  
收稿时间:2020-04-14

Value of ultrasound in diagnosis of complete uterine rupture during second trimester pregnancy
Xuesong Ma,Qingqing Wu,Li Wang,Liman Yang,Fengyun Gao,Xiaofei Li,Yinghua Xuan,Qiao Li. Value of ultrasound in diagnosis of complete uterine rupture during second trimester pregnancy[J]. Chinese Journal of Medical Ultrasound, 2020, 17(6): 509-513. DOI: 10.3877/cma.j.issn.1672-6448.2020.06.004
Authors:Xuesong Ma  Qingqing Wu  Li Wang  Liman Yang  Fengyun Gao  Xiaofei Li  Yinghua Xuan  Qiao Li
Affiliation:1. Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
Abstract:
ObjectiveTo explore the value of ultrasound in the diagnosis of complete uterine rupture during the second trimester pregnancy. MethodsThe preoperative sonographic features and clinical data of eight patients with uterine rupture confirmed by operation in the second trimester pregnancy were analyzed retrospectively from 2010 to 2019 at Beijing Obstetrics and Gynecology Hospital, Capital Medical University. ResultsThere were abnormal ultrasonic manifestations in all the eight cases. Ultrasonic manifestations were complex. Based on high risk factors and clinical manifestation of complete uterine rupture, there were two confirmed cases, four suspected cases, and one case of threatened rupture of the uterus by ultrasound diagnosis. One case was misdiagnosed as placental abruption. ConclusionUltrasonography is an important tool for diagnosis of complete uterine rupture during the second trimester pregnancy.
Keywords:Ultrasonography  Pregnancy trimester   second  Uterine rupture  
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