超声对剖宫产子宫切口愈合不良监测的意义

目的 探讨剖宫产术后子宫切口愈合不良的声像图表现.方法 应用B超监测30例剖宫产术后子宫切口的愈合情况.结果 根据声像图特点将子宫切口愈合情况分类:I类子宫切口呈平行或弧状强回声带为愈合良好;Ⅱ类子宫切口呈实质性非均质性回声团或无回声区为主的混合性回声团为子宫切口炎性反应,26例(86.7%);Ⅲ类子宫切口区局部中断,内见斑片状强回声,边缘明显增厚,突向膀胱,附件区可及形态不规则,非均质性实质性包块伴无回声,为子宫局部裂开,溃疡形成伴附件炎性渗出,4例(13.3%).结论 B超能够监测剖宫产术后子宫切口愈合不良的情况,为临床提供依据,对防治晚期产后出血等并发症具有重要的临床价值.

The Significance of Ultrasonic Monitoring in Uterus Incision of Abdominal Delivery Healed in Poor Condition

Objective To explore the ultrasonic images of the uterus incision of abdominal delivery healed in poor condition.Methods Monitor the uterus incisions of 30 cases after abdominal delivery with B-Ultrasound.Results Divide the uterus incisions into 3 groups according to the characteristics of their ultrasonic images:Group Ｉ had parallel or arc-like incisions with hyperecho,which led to good curation.Group Ⅱ had mixed echo mass of inhomogenous echo mass or no echo area,which meant incision inflammation(26cases,86.7%).Group Ⅲ had break-up incisions,patch-like hyperecho,thickened boder to bladder,irregular adnexal area and inhomogenous mass without echo,which led to uterus rupture and ulcer formation with phlogistic exudation.(4 cases,13.3%).Conclusions B-Ultrasound can monitor uterus incision of abdominal delivery healed in poor condition and provide clinical direction to prevent complications such as postpartum Hemorrhage.